Dr Eva Dittrich, PSYD is a
Psychologist - Clinical based in Pooler, Georgia. Dr Eva Dittrich is licensed to practice in California (license number 32753) and her current practice location is
5 Appletree Close, Pooler, Georgia. She can be reached at her office (for appointments etc.) via phone at
(913) 226-4007.
NPI number for Dr Eva Dittrich is 1487395190 and her current mailing address is Po Box 414, Pooler, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487395190.
Healthcare Provider's Profile
| Full Name | Dr Eva Dittrich |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 5 Appletree Close, Pooler, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487395190
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 04/05/2022
Medical Identifiers
Medical identifiers for Dr Eva Dittrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487395190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 32753 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eva Dittrich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Eva Dittrich, PSYD
Po Box 414,
Pooler, GA 31322-0414
Ph: () - | Dr Eva Dittrich, PSYD
5 Appletree Close,
Pooler, GA 31322-9781
Ph: (913) 226-4007 |
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