Individual provider · Type 1 NPI

Jackie Sue Niemand, LIC PSYCHOLOGIST

Psychologist · Stillwater, MN

NPI number 1417958893 Active

Practice location

6381 Osgood Ave N Ste 8
Stillwater, MN 55082-6182

Fax (651) 430-9296

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XLP3518 (MN)
Family Psychologist 103TF0000XLP3518 (MN)
Psychologist Primary 103T00000XLP3518 (MN)
Cognitive & Behavioral Psychologist 103TB0200XLP3518 (MN)
Counseling Psychologist 103TC1900XLP3518 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1417958893

Jackie Sue Niemand, LIC PSYCHOLOGIST's National Provider Identifier is 1417958893, issued on Aug 9, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Stillwater, MN. The record was last updated on Feb 10, 2021.