Individual
MARIA NIITEPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 VETERANS WAY, PENSACOLA, FL 32507-1000
(850) 912-2317
Mailing address
#1013, 768 PUTNEY ROAD UNIT 1, BRATTLEBORO, VT 05301
(802) 234-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
097.0135135
VT
103TC0700X
Clinical Psychologist
Primary
PY12736
FL
Other
Enumeration date
06/07/2022
Last updated
04/29/2025
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