Kirk W Ditterich PSYD

NPI 1720301955 - Psychologist - 103TC0700X

NPI Details
NPI 1720301955
Gender Male
Enumeration Date 03/02/2010
Last Updated 03/02/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
10956 DONNER PASS RD
STE 330
TRUCKEE CA, 96161-4861, US
Phone (530) 582-6450
Fax (530) 582-6430
Business Location
PO BOX 60901
TRUCKEE CA, 96160-9001, US
Phone (530) 582-6862
Fax (530) 550-1670
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY23279
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According to our database, Kirk W Ditterich PSYD NPI is 1720301955, taxonomy code is 103TC0700X and license number is PSY23279, license state is located at California. Kirk W Ditterich PSYD physically located at 10956 Donner Pass Rd, Truckee CA, 96161-4861. NPI Number Kirk W Ditterich PSYD has the Individual type.

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1720301955 NPI number is provided on an as is basis without warranty of any kind. 1720301955 is maintained by the National Plan & Provider Enumeration System. The contents of Kirk W Ditterich PSYD are for informational purposes only.