Provider Demographics
NPI:1942919055
Name:NIJMEH, JOSEPH SALIM (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SALIM
Last Name:NIJMEH
Suffix:
Gender:M
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:PSC 76 BOX 6096
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96319-0061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USHIROKUBO-125-7
Practice Address - Street 2:
Practice Address - City:MISAWA
Practice Address - State:AOMORI
Practice Address - Zip Code:033022
Practice Address - Country:JP
Practice Address - Phone:315-226-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007992103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty