Organization
DIETCHMAN, LEAVELL AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE L DIETCHMAN MA (LICENSED PSYCHOLOGIST)
(816) 531-7737
Entity
Organization
Contact information
Practice address
3210 GILLHAM RD, KANSAS CITY, MO 64109-1714
(816) 531-7737
(816) 531-7738
Mailing address
3210 GILLHAM RD, KANSAS CITY, MO 64109-1714
(816) 531-7737
(816) 531-7738
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01720
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34875019
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/23/2008
Last updated
11/18/2013
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