Provider Demographics
NPI:1952085672
Name:HERROLD, ALICIA MENG (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:MENG
Last Name:HERROLD
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 S 70TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1566
Mailing Address - Country:US
Mailing Address - Phone:402-483-1936
Mailing Address - Fax:402-483-7314
Practice Address - Street 1:1520 S 70TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1566
Practice Address - Country:US
Practice Address - Phone:402-483-1936
Practice Address - Fax:402-483-7314
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-13
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1198103T00000X
NE6287103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist