Individual
ANDRYA DIETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, L.P.
Contact information
Practice address
3101 OLD HIGHWAY 8 # 304B, ROSEVILLE, MN 55113-1072
(763) 478-1283
(651) 925-0304
Mailing address
3101 OLD HIGHWAY 8 # 304B, ROSEVILLE, MN 55113-1072
(763) 478-1283
(651) 925-0304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
5360
MN
Other
Enumeration date
03/19/2007
Last updated
09/07/2016
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