Individual
DR. ZACHARY CLAYBORNE DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 EXECUTIVE PARK STE 103, LOUISVILLE, KY 40207-4201
(502) 313-6880
Mailing address
910 HOWSER RD, HENRYVILLE, IN 47126-8616
(502) 807-2481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
252672
KY
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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