| Debra Dietrich, PSYCHOLOGIST | |
|
2404 E Empire St, Bloomington, IL 61704-3630 | |
| (309) 663-8275 | |
| (309) 687-2035 |
| Full Name | Debra Dietrich |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 2404 E Empire St, Bloomington, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396947974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 1062455 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Dietrich, PSYCHOLOGIST Po Box 991, Morton, IL 61550-0991 Ph: (309) 678-3155 | Debra Dietrich, PSYCHOLOGIST 2404 E Empire St, Bloomington, IL 61704-3630 Ph: (309) 663-8275 |
Cheri L. Miller, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 303 N Hershey Rd Ste D1, Bloomington, IL 61704 Phone: 309-268-3529 Fax: 309-268-2323 | |
Dr. Michael C. Baum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-820-3500 | |
Mr. Scott M Hogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 E Hamilton Rd, Bloomington, IL 61704 Phone: 309-828-5231 | |
Dr. Trisha Dyan Mann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 103 N Regency Dr, Bloomington, IL 61701 Phone: 309-661-8046 Fax: 309-661-8093 | |
Dr. Paul Flores, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 308, Bloomington, IL 61701 Phone: 309-204-6766 | |
Dr. Raymond Michael Bergner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 901 E Grove St, Bloomington, IL 61701 Phone: 309-828-6821 | |
Dr. Laurie L. Bergner, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 901 E Grove St, Bloomington, IL 61701 Phone: 309-828-6821 |