Organization
DUSTIN KIESCHNICK, PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN KIESCHNICK PSYD (CLINICAL PSYCHOLOGIST)
(530) 208-5714
Entity
Organization
Contact information
Practice address
497 TAHOE KEYS BLVD APT 35, SOUTH LAKE TAHOE, CA 96150-3841
(910) 467-3217
Mailing address
497 TAHOE KEYS BLVD APT 35, SOUTH LAKE TAHOE, CA 96150-3841
(910) 467-3217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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