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Individual

DIEDRA HAYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1115 S MAIN ST, BLUFFTON, IN 46714-3616
(260) 824-1071
Mailing address
225 N. UNION ST., BLUFFTON, IN 46714
(260) 215-5878

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042116A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
1826
AL

Other

Enumeration date
03/19/2007
Last updated
02/21/2017
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