Individual
MARY ANN DIETZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4407 N DIVISION ST STE 505, SPOKANE, WA 99207-1613
(509) 487-9131
(509) 482-9022
Mailing address
4407 N. DIVISION SUITE 505, SPOKANE,, WA 99207-1613
(509) 487-9131
(509) 482-9022
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1559
WA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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