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Individual

DR. GADDIEL NIEVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1864
(229) 257-3898
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(724) 229-0331

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6250
PR

Other

Enumeration date
09/05/2014
Last updated
04/25/2025
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