Individual
MS. LOUISE A. DIETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6 HILLCREST RD, ESSEX JUNCTION, VT 05452-3611
(802) 878-2118
(802) 878-7582
Mailing address
6 HILLCREST RD, ESSEX JUNCTION, VT 05452-3611
(802) 878-2118
(802) 878-7582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4700000415
VT
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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