Individual
KIRSI NIEMELA-WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1006 N BOWEN RD, SUITE 124, ARLINGTON, TX 76012-2826
(817) 543-3704
Mailing address
1006 N BOWEN RD, SUITE 105, ARLINGTON, TX 76012-2826
(817) 543-3704
(817) 543-3705
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041071403
—
TX
Enumeration date
11/08/2006
Last updated
07/13/2009
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