Individual
DR. NIEKEMA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
2412 IRWIN ST STE 251, MELBOURNE, FL 32901-7316
(321) 952-5900
Mailing address
2412 IRWIN ST STE 251, MELBOURNE, FL 32901-7316
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
1316423
FL
103TS0200X
School Psychologist
1912162
IL
103TS0200X
School Psychologist
Primary
SS1824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316423
STATE OF FLORIDA DEPARTMENT OF EDUCATION
FL
01
—
1912162
ILLINOIS STATE BOARD OF EDUCATION
IL
01
—
SS1824
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
11/14/2017
Last updated
11/04/2023
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