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Search › Minnesota › 103T00000X

Jackie Niemand, LIC PSYCHOLOGIST

NPI 1417958893 · on the registry since 2005 · sole proprietor

Practice

Address
6381 Osgood Ave N Ste 8
Stillwater, MN 55082
Phone
(651) 275-9680
Fax
(651) 430-9296
Organisation at this address
Grounded Heart Therapy Llc
Sheehan Psychological Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TC2200X
103TF0000X
103TB0200X
103TC1900X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota