Organization
D TEICHMANN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIETRA DUFFALA TEICHMANN PH.D. (OWNER)
(309) 691-7161
Entity
Organization
Contact information
Practice address
4715 N LAUREL DR, PEORIA, IL 61614-5533
(309) 691-7161
Mailing address
4715 N LAUREL DR, PEORIA, IL 61614-5533
(309) 691-7161
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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