Nicholas R Dietlein PSYD

NPI 1326113705 - Psychologist - 103TC0700X

NPI Details
NPI 1326113705
Gender Male
Enumeration Date 11/21/2006
Last Updated 03/06/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2601 25TH ST SE
SALEM OR, 97302-1285, US
Phone (503) 566-6533
Fax (503) 566-9864
Business Location
2250 D ST NE
SALEM OR, 97301-2768, US
Phone (503) 364-6093
Fax (503) 364-5121
Taxonomy Code 103TC0700X
License State Oregon
License Number 1527
Remove 1326113705 NPI Number

According to our database, Nicholas R Dietlein PSYD NPI is 1326113705, taxonomy code is 103TC0700X and license number is 1527, license state is located at Oregon. Nicholas R Dietlein PSYD physically located at 2601 25th St Se, Salem OR, 97302-1285. NPI Number Nicholas R Dietlein PSYD has the Individual type.

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1326113705 NPI number is provided on an as is basis without warranty of any kind. 1326113705 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas R Dietlein PSYD are for informational purposes only.