Cheryl L. Nietfeldt in Kirkwood - Psychologist

Cheryl L. Nietfeldt - NPI 1235120650

Cheryl L. Nietfeldt is a Psychologist in Kirkwood, Missouri. Cheryl L. Nietfeldt practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Cheryl L. Nietfeldt is 1235120650. The last update date is 2007-07-08.

Cheryl L. Nietfeldt's current location address is 12166 Old Big Bend Rd, Kirkwood, Missouri. You can contact this provider via phone number 3149090211 and fax number 3149090323. The mailing address for Cheryl L. Nietfeldt is 12166 Old Big Bend Rd, Kirkwood, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Cheryl L. Nietfeldt
Address 12166 Old Big Bend Rd, Kirkwood, Missouri
Phone Number 3149090211
Fax Number 3149090323
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1235120650
Provider Enumeration Date 2005-11-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12166 Old Big Bend Rd
City Kirkwood
State Missouri (MO)
Post Code 631226844
Phone Number 3149090211
Fax Number 3149090323

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No R0218
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
487V3 MO BLUE CROSS BLUE SHIELD
251558 MO VALUE OPTIONS ID
43098515915 MO CMR
433774 MO HEALTHLINK
6111080 MO UNITED BEHAVIORAL HEALTH

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FAQs about Cheryl L. Nietfeldt

What is the unique identification code assigned to Cheryl L. Nietfeldt by the Centers for Medicare & Medicaid Services?

The Cheryl L. Nietfeldt has been issued the NPI (National Provider Identifier) 1235120650. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Cheryl L. Nietfeldt?

The Cheryl L. Nietfeldt is situated at 12166 Old Big Bend Rd, in the city of Kirkwood, state of MO, with the zip code 631226844.

What is the Cheryl L. Nietfeldt's area of specialization and corresponding taxonomy classification?

The Cheryl L. Nietfeldt's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.

On what date did Cheryl L. Nietfeldt receive its 1235120650 assignment from the Centers for Medicare & Medicaid Services?

The Cheryl L. Nietfeldt was assigned its 1235120650 on 2005-11-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Cheryl L. Nietfeldt most recently updated or revised?

The information pertaining to Cheryl L. Nietfeldt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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