| Dr Gaddiel Nieves, PSYD | |
|
3278 Mitchell Blvd, Moody Afb, GA 31699-1864 | |
| (229) 257-3898 | |
| Not Available |
| Full Name | Dr Gaddiel Nieves |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 3278 Mitchell Blvd, Moody Afb, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164823498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6250 (Puerto Rico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gaddiel Nieves, PSYD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (724) 229-0331 | Dr Gaddiel Nieves, PSYD 3278 Mitchell Blvd, Moody Afb, GA 31699-1864 Ph: (229) 257-3898 |
Samuel Dewayne Oldham, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 | |
Charles Paul Ross, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 |