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Individual

BARBARA A. DIEDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
4212 OHIO STATE ROUTE 306, SUITE 100, WILLOUGHBY, OH 44094-9446
(216) 831-6611
(216) 456-8128
Mailing address
25101 CHAGRIN BLVD, SUITE 100, BEACHWOOD, OH 44122-5643
(216) 831-6611
(216) 456-8128

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7093
OH

Other

Enumeration date
01/17/2014
Last updated
12/21/2018
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