Jackie Sue Niemand, LIC, PSYCHOLOGIST
Jackie Sue Niemand, LIC, PSYCHOLOGIST is a Clinical Child & Adolescent Psychologist in Stillwater, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2005
- Specialties on file
- 5
Practice location Address checks out
6381 Osgood Ave N Ste 8Stillwater, MN 55082-6182
Phone: (651) 275-9680
Fax: (651) 430-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence LP3518 (MN) |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X · Licence LP3518 (MN) |
| Family Psychologist | Taxonomy 103TF0000X · Licence LP3518 (MN) |
| Cognitive & Behavioral Psychologist | Taxonomy 103TB0200X · Licence LP3518 (MN) |
| Counseling Psychologist | Taxonomy 103TC1900X · Licence LP3518 (MN) |
Record details
| NPI number | 1417958893 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LIC , PSYCHOLOGIST |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2005 |
| Last updated in NPPES | February 10, 2021 |
| Certification date | February 10, 2021 |