Individual
LEANN TERRY DIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
720 PIKE STREET, SUITE 3, LEMONT, PA 16851
(814) 777-8899
Mailing address
PO BOX 655, LEMONT, PA 16851-0655
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS017258
PA
Other
Enumeration date
03/26/2007
Last updated
04/21/2023
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