Niemela-Waller, Kirsi
Niemela-Waller, Kirsi is an sole proprietor health care provider with primary practice located at 1006 N Bowen Rd Suite 124, Arlington TX 76012-2826. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Niemela-Waller, Kirsi can be contacted via phone (817) 543-3704.Contact Information
Primary practice address
1006 N Bowen Rd Suite 124
Arlington TX 76012-2826
Phone: (817) 543-3704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 30882 | Texas |
Profile Details
| NPI number | 1700956976 |
|---|---|
| LBN Legal business name | Niemela-Waller, Kirsi |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 13th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700956976 | NPPES |
| Texas | MEDICAID | 041071403 |
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