Individual
EMILY S DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 E STATE ST, COLUMBUS, OH 43215-4281
(574) 546-1900
Mailing address
PO BOX 11167, FORT WAYNE, IN 46856-1167
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.-08723
OH
Other
Enumeration date
09/11/2019
Last updated
12/09/2024
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