Individual
DR. DAVID JOHN DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 330-1876
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 330-1876
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
5707
OH
103T00000X
Psychologist
2394
CO
103T00000X
Psychologist
Primary
5707
OH
Other
Enumeration date
04/19/2006
Last updated
07/16/2013
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