Provider Demographics
NPI:1528512431
Name:MUENCH, DAVID ALAN (MDIV, MS LMHP)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALAN
Last Name:MUENCH
Suffix:
Gender:M
Credentials:MDIV, MS LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4631 OLD CHENEY RD
Mailing Address - Street 2:#2
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2874
Mailing Address - Country:US
Mailing Address - Phone:636-458-9773
Mailing Address - Fax:
Practice Address - Street 1:19500 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-2726
Practice Address - Country:US
Practice Address - Phone:402-614-6287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1328101YP1600X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral