Individual
KRISTIN NIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3480
TN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS018599
PA
Other
Enumeration date
07/26/2018
Last updated
11/14/2018
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