Individual
LAURA ADRIANA DIETMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
112 WATER ST STE 400, BOSTON, MA 02109-4211
(617) 315-8856
Mailing address
15 HEMLOCK SPRINGS RD, DERRY, NH 03038-5293
(203) 258-2139
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11443
MA
Other
Enumeration date
01/22/2017
Last updated
12/20/2021
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