Individual
DR. DAVID ROBERT DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
625 PURDY ST, BIRMINGHAM, MI 48009-1738
(248) 646-6515
(248) 646-2760
Mailing address
625 PURDY ST, BIRMINGHAM, MI 48009-1738
(248) 646-6515
(248) 646-2760
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
6301003061
MI
102L00000X
Psychoanalyst
—
—
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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