Individual
MS. DINAH HAYS NIEBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1110 ROSE HILL DR, SUITE 201, CHARLOTTESVILLE, VA 22903-5159
(434) 977-0033
(434) 220-3335
Mailing address
1110 ROSE HILL DR, SUITE 201, CHARLOTTESVILLE, VA 22903-5159
(434) 977-0033
(434) 220-3335
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810002889
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081721M
OPTIMA FAMILY CARE
VA
01
—
1831126135
VALUEOPTIONS
VA
01
—
208464
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
06/26/2006
Last updated
01/04/2008
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