Organization
ANDRYA DIETER, PSYD, LP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRYA DIETER PSYD (LICENSED PSYCHOLOGIST)
(763) 478-1283
Entity
Organization
Contact information
Practice address
3101 OLD HIGHWAY 8, SUITE 304B, ROSEVILLE, MN 55113-1072
(763) 478-1283
(651) 952-0304
Mailing address
5219 JEFFERY DR, SAINT PAUL, MN 55112-4950
(763) 478-1283
(651) 925-0304
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5360
MN
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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