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Individual
MS. DINAH HAYS NIEBURG
Active
Individual
MS. DINAH HAYS NIEBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810002889
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081721M
SENTARA BEHAVIORAL HEALTH
VA
01
—
1831126135
VIRGINIA PREMIER
VA
01
—
208464
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
06/26/2006
Last updated
01/04/2008
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