| Michelle Diehl, Psy.d., R.n., Pl | |
|
209 Lithia Pinecrest Rd Brandon FL 33511-5307 | |
| (813) 957-2765 | |
| Not Available |
| Full Name | Michelle Diehl, Psy.d., R.n., Pl |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 209 Lithia Pinecrest Rd, Brandon, Florida |
| Authorized Official Name and Position | Michelle-anne Diehl (SOLE MEMBER/OWNER/PROVIDER) |
| Authorized Official Contact | 8139572765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Diehl, Psy.d., R.n., Pl 209 Lithia Pinecrest Rd Brandon FL 33511-5307 Ph: (813) 957-2765 | Michelle Diehl, Psy.d., R.n., Pl 209 Lithia Pinecrest Rd Brandon FL 33511-5307 Ph: (813) 957-2765 |
| NPI Number | 1346578457 |
|---|---|
| Provider Enumeration Date | 12/01/2009 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346578457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 8005 (Florida) | Primary |
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