Individual
DR. ALYSSA DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
307 E 1ST ST, PROSPER, TX 75078-2920
(214) 620-1405
Mailing address
307 E 1ST ST, PROSPER, TX 75078-2920
(214) 620-1405
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
38102
TX
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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