Chiquitha Cornelius
Psychologist Social Worker Psychoanalysis Group Psychotherapist and 3 more
3130 S 11th St Ste 105
Niles
, Michigan 49120-4736
Chiquitha Cornelius
Psychologist Social Worker Psychoanalysis Group Psychotherapist and 3 more
3130 S 11th St Ste 105
Niles
, Michigan 49120-4736
(574) 274-0152
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
- Intellectual & Developmental Disabilities
- Psychoanalysis
- Group Psychotherapist
- Social Worker
Languages spoken
- English
Location
First Address
- Chiquitha Cornelius
- 3130 S 11th St Ste 105
- Niles, MI
- Zip : 49120-4736
- Phone : (574) 274-0152
Second Address
- Chiquitha Cornelius
- 3130 S 11th St Ste 105
- Niles, MI
- Zip : 49120-4736
- Phone : (574) 274-0152
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 6301015882 | MI |
| N | 103T00000X | Psychologist | 6301015882 | MI |
| N | 102L00000X | Psychologist | 6301015882 | MI |
| N | 103T00000X | Psychologist | 6301015882 | MI |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301015882 | MI |
| N | 103TM1800X | Intellectual & Developmental Disabilities | 6301015882 | MI |
| N | 103TP0814X | Psychoanalysis | 6301015882 | MI |
| N | 103TP2701X | Group Psychotherapist | 6301015882 | MI |
| N | 104100000X | Social Worker | 6801095307 | MI |
National Provider Identifier
| NPI | 1033499173 |
|---|---|
| Provider Name | Chiquitha Cornelius |
| First Address | Niles, MI 49120-4736 |
| Second Address | Niles, MI 49120-4736 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2011 |
| Last Update Date | 21/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.