Individual
DR. MICHELLE-ANNE DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., R.N.
Contact information
Practice address
209 LITHIA PINECREST RD, BRANDON, FL 33511-5307
(813) 957-2765
(813) 502-6144
Mailing address
209 LITHIA PINECREST RD, BRANDON, FL 33511-5307
(813) 957-2765
(813) 502-6144
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8005
FL
163W00000X
Registered Nurse
9197701
FL
Other
Enumeration date
11/10/2009
Last updated
06/04/2020
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