| Dietchman And Associates, Llc | |
|
4016 S Lynn Ct Dr Ste. B Independence MO 64055-3360 | |
| (816) 716-3111 | |
| Not Available |
| Full Name | Dietchman And Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4016 S Lynn Ct Dr, Independence, Missouri |
| Authorized Official Name and Position | Renee L Dietchman (OWNER/MEMBER) |
| Authorized Official Contact | 8167163111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dietchman And Associates, Llc 4016 S Lynn Ct Dr Ste. B Independence MO 64055-3360 Ph: (816) 716-3111 | Dietchman And Associates, Llc 4016 S Lynn Ct Dr Ste. B Independence MO 64055-3360 Ph: (816) 716-3111 |
| NPI Number | 1992133151 |
|---|---|
| Provider Enumeration Date | 10/28/2013 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992133151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | 1464 (Kansas) | Secondary |
| 103T00000X | Psychologist | 01720 (Missouri) | Primary |
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