Individual
RENEE L DIETCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3210 GILLHAM RD, KANSAS CITY, MO 64109-1714
(816) 531-7737
(816) 531-7738
Mailing address
3210 GILLHAM RD, KANSAS CITY, MO 64109-1714
(816) 531-7737
(816) 531-7738
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01720
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497956417
—
MO
Enumeration date
05/27/2006
Last updated
07/08/2007
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