Individual
DR. LAURA J DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3811 OHARA ST, BELLEFIELD TOWERS 309, PITTSBURGH, PA 15213-2593
(412) 246-5632
Mailing address
3811 OHARA ST, BELLEFIELD TOWERS 309, PITTSBURGH, PA 15213-2593
(412) 246-5632
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS016613
PA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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