Individual
DR. KRISTIE J NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3183 W STATE ST STE 1201, BRISTOL, TN 37620-1713
(423) 764-0987
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P07621
OH
103T00000X
Psychologist
P07621
OH
Other
Enumeration date
02/13/2007
Last updated
06/02/2023
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