Provider Demographics
NPI:1952894677
Name:NIERI, DEBORAH KINCAID (MS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KINCAID
Last Name:NIERI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ELAINE
Other - Last Name:KINCAID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 PALMETTO PARK BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7969
Mailing Address - Country:US
Mailing Address - Phone:803-399-9360
Mailing Address - Fax:803-808-5392
Practice Address - Street 1:108 PALMETTO PARK BLVD STE D
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7969
Practice Address - Country:US
Practice Address - Phone:803-399-9360
Practice Address - Fax:803-808-5392
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health