Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 016483-1 | NY |
Y | 103T00000X | Psychologist | 016483-1 | NY |
N | 103G00000X | Clinical Psychologist | 016483 | NY |
N | 103TC0700X | Clinical Psychologist | 016483 | NY |
NPI | 1013078336 |
---|---|
Provider Name | Dr. Karen Ann Nielson-Salois |
First Address | St. Ignatius, MT 59865 |
Second Address | St. Ignatius, MT 59865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 12/02/2018 |