Individual
DR. EVA DITTRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5 APPLETREE CLOSE, POOLER, GA 31322-9781
(913) 226-4007
Mailing address
PO BOX 414, POOLER, GA 31322-0414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32753
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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