Provider Demographics
NPI:1689351595
Name:NIEMCZEWSKA, KLAUDIA (MS)
Entity Type:Individual
Prefix:
First Name:KLAUDIA
Middle Name:
Last Name:NIEMCZEWSKA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 COLLINS AVE APT 936
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2716
Mailing Address - Country:US
Mailing Address - Phone:773-241-4015
Mailing Address - Fax:
Practice Address - Street 1:5151 COLLINS AVE APT 936
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2716
Practice Address - Country:US
Practice Address - Phone:773-241-4015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst