Debra Dietrich is a School in Morton, Illinois. Debra Dietrich practices all healthcare services and medical treatments related to School. The NPI Number for Debra Dietrich is 1396947974. The last update date is 2007-07-08.
Debra Dietrich's current location address is Po Box 991, Morton, Illinois. You can contact this provider via phone number 3096783155 and fax number 3096726717. The mailing address for Debra Dietrich is Po Box 991, Morton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Dietrich |
|---|---|
| Address | Po Box 991, Morton, Illinois |
| Phone Number | 3096783155 |
| Fax Number | 3096726717 |
| Sole Proprietor | Y |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1396947974 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 991 |
|---|---|
| City | Morton |
| State | Illinois (IL) |
| Post Code | 615500991 |
| Phone Number | 3096783155 |
| Fax Number | 3096726717 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 1062455 |
|
Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Debra Dietrich by the Centers for Medicare & Medicaid Services?
The Debra Dietrich has been issued the NPI (National Provider Identifier) 1396947974, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Debra Dietrich is physically located?
The Debra Dietrich is physically situated at the following address: Po Box 991, Morton, IL, 615500991.
What is the Debra Dietrich's area of specialization and corresponding taxonomy classification?
The Debra Dietrich's specialty field is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their specialties.
On what date did Debra Dietrich receive its 1396947974 assignment from the Centers for Medicare & Medicaid Services?
The Debra Dietrich was assigned its 1396947974 on 2007-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Debra Dietrich last refreshed?
The information related to the Debra Dietrich, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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