Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 4461 | NC |
N | 103T00000X | Psychologist | 4461 | NC |
N | 103G00000X | Clinical Psychologist | 2123 | AL |
N | 103TC0700X | Clinical Psychologist | 2123 | AL |
N | 103G00000X | Clinical Psychologist | 4461 | NC |
N | 103TC0700X | Clinical Psychologist | 4461 | NC |
N | 103TR0400X | Rehabilitation Psychologist | 0810001172 | VA |
Y | 103TR0400X | Rehabilitation Psychologist | 2123 | AL |
N | 103TR0400X | Rehabilitation Psychologist | 4461 | NC |
NPI | 1376569236 |
---|---|
Provider Name | Janet P Niemeier |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-1801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 17/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1376569236 | (05) | NC |
PS0536 | (05) | SC |
R62834 | (02) |