Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANDI FAYE DEITZ, PH.D.
ActiveDR. MANDI FAYE DEITZ, PH.D. is a Clinical Psychologist healthcare provider located in NEWPORT, Tennessee. NPI 1265625503 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NEWPORT, TN
Registration Details
- NPI Number
- 1265625503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2007 (18.939083175085 yrs)
- Last Updated
- May 23, 2018
- License
-
PSY-202959 (ID)
Practice Information
- Address
-
215 HEDRICK DRIVENEWPORT, TN, 37821Browse TN providers · Browse ZIP 37821
- Phone
- 4236235301
- Fax
- 4236250808
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in NEWPORT, TN
| Name | Credential | NPI |
|---|---|---|
| BEVERLY JOANNE CLONTZ | PSYD | 1689672883 |
| THOMAS MICHAEL MEGUIAR | PHD | 1285819367 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.