Provider Demographics
NPI:1174845804
Name:NIGGEMEYER, ANNE EILEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:EILEEN
Last Name:NIGGEMEYER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 151ST ST SE
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-5426
Mailing Address - Country:US
Mailing Address - Phone:425-252-7000
Mailing Address - Fax:425-252-7005
Practice Address - Street 1:4310 COLBY AVE
Practice Address - Street 2:SUITE201
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2338
Practice Address - Country:US
Practice Address - Phone:425-252-7000
Practice Address - Fax:425-252-7005
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003857103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist