Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEBRA DIETRICH, PSYCHOLOGIST
Active Sole ProprietorSchool Psychologist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1396947974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2007 (18.901164738641 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1062455 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2404 E EMPIRE STBLOOMINGTON, IL, 617043630Browse IL providers · Browse ZIP 61704
- Phone
- 3096638275
- Fax
- 3096872035
- Primary Specialty
-
School Psychologist
103TS0200X
Other School Psychologist Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| SARAH GOODNER | — | 1649798513 |
| MR. SCOTT M HOGAN | — | 1043997810 |
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.