Individual
RACHEL MARIE NIJAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6832 CONVENT BLVD, SYLVANIA, OH 43560
(419) 882-4529
(419) 885-7612
Mailing address
6832 CONVENT BLVD, SYLVANIA, OH 43560
(419) 882-4529
(419) 885-7612
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0973228
—
OH
Enumeration date
01/19/2006
Last updated
11/13/2007
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