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Individual

DR. CHERYL L. NIETFELDT

Active
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Individual

DR. CHERYL L. NIETFELDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
R0218
MO
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
R0218
MO
103TC1900X
Counseling Psychologist
Primary
103TC2200X
Clinical Child & Adolescent Psychologist
R0218
MO
103TF0000X
Family Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251558
VALUE OPTIONS ID
MO
01
43098515915
CMR
MO
01
433774
HEALTHLINK
MO
01
487V3
BLUE CROSS BLUE SHIELD
MO
01
6111080
UNITED BEHAVIORAL HEALTH
MO
Enumeration date
11/03/2005
Last updated
09/11/2025
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