Individual
ELIZABETH DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 W TOWNSHIP LINE RD, HAVERTOWN, PA 19083-4930
(610) 871-1557
Mailing address
1021 ASHLAND AVE APT B, CRUM LYNNE, PA 19022-1411
(610) 914-0029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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