Individual
BRIANNA FAYE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E NORFOLK AVE STE 400, NORFOLK, NE 68701-5323
(402) 317-6611
Mailing address
1105 KOENIGSTEIN AVE, NORFOLK, NE 68701-3840
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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