Organization
NANCY DOLIN DIETRICH, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY DOLIN DIETRICH PH.D. (LICENSED PSYCHOLOGIST)
(248) 723-1111
Entity
Organization
Contact information
Practice address
999 HAYNES ST, SUIRE 300, BIRMINGHAM, MI 48009-6712
(248) 723-7111
Mailing address
999 HAYNES ST, SUIRE 300, BIRMINGHAM, MI 48009-6712
(248) 723-7111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012590
MI
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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