Nietfeldt, Cheryl L.
Nietfeldt, Cheryl L. is an sole proprietor health care provider with primary practice located at 12166 Old Big Bend Rd Suite 100, Kirkwood MO 63122-6844. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Nietfeldt, Cheryl L. can be contacted via phone (314) 909-0211.Contact Information
Primary practice address
12166 Old Big Bend Rd Suite 100
Kirkwood MO 63122-6844
Phone: (314) 909-0211
Fax: (314) 909-0323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | R0218 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | R0218 | Missouri |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | R0218 | Missouri |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | ||
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X |
Profile Details
| NPI number | 1235120650 |
|---|---|
| LBN Legal business name | Nietfeldt, Cheryl L. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1235120650 | NPPES |
| Missouri | Other | 487V3 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 251558 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 43098515915 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 433774 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 6111080 | BLUE CROSS BLUE SHIELD |
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