Individual
COURTNEY DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 S SPRUCE ST, LITITZ, PA 17543-2316
(717) 669-4118
Mailing address
226 S SPRUCE ST, LITITZ, PA 17543-2316
(717) 669-4118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011810
PA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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