Individual
DR. NANCY DOLIN DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
999 HAYNES ST STE 300, BIRMINGHAM, MI 48009-6775
(248) 723-7111
Mailing address
575 PILGRIM AVE, BIRMINGHAM, MI 48009-1210
(248) 885-1044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012590
MI
104100000X
Social Worker
6801013713
MI
Other
Enumeration date
06/28/2007
Last updated
03/09/2022
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