IndividualActive
Pam Hartle
NPI 1225922396 · Developmental Disabilities Clinic/Center · Ralston, NE
Provider details
- NPI number
- 1225922396
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Practice location
5720 S 77th St
Ralston, NE 68127-4202
Phone: (531) 200-0563
Fax: (531) 867-4811
Mailing address
5720 S 77th St
Ralston, NE 68127-4202
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.