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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE SUE NIEMAND, LIC PSYCHOLOGIST

Active Sole Proprietor

JACKIE SUE NIEMAND, LIC PSYCHOLOGIST is a Psychologist healthcare provider located in STILLWATER, Minnesota. NPI 1417958893 is currently active in the NPPES registry. Verify at CMS.

Psychologist · STILLWATER, MN

Registration Details

NPI Number
1417958893
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2005 (20.869893482188 yrs)
Last Updated
Feb 10, 2021
Licenses
LP3518 (MN)
LP3518 (MN)
LP3518 (MN)
LP3518 (MN)
LP3518 (MN)
Sole Proprietor
Yes

Practice Information

Address
6381 OSGOOD AVE N STE 8
STILLWATER, MN, 550826182
Browse MN providers · Browse ZIP 55082
Phone
6512759680
Fax
6514309296
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Family Psychologist
Additional Specialty
Psychologist
Additional Specialty
Counseling Psychologist

Other Psychologist Providers in STILLWATER, MN

Name Credential NPI
PATRICIA LB LOCKYEAR PSYD LP 1780628701
MS. ELIZABETH MAU M.S., L.P. 1205858735
DR. WILLIAM L. RUSH LP 1194738732
MICHAEL K HUNTLEY MA LP 1316059074
DR. EILEEN BRIGID SEXTON PH.D., LP 1649350596
MS. ZOE HAZENSON L.P. 1275666877
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.