Individual
DAVID C DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3150 LENOX PARK BLVD, SUITE 214, MEMPHIS, TN 38115-4299
(901) 273-2370
(901) 273-2351
Mailing address
3150 LENOX PARK BLVD, SUITE 214, MEMPHIS, TN 38115-4299
(901) 273-2370
(901) 273-2341
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P2010
TN
Other
Enumeration date
11/17/2008
Last updated
01/21/2009
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