Search › Illinois › 103TS0200X
Stacy Diekmann, SSP, NCSP
NPI 1235657941 · on the registry since 2017
Practice
- Address
- 1525 Locust St
Red Bud, IL 62278 - Phone
- (618) 282-6251
- Organisation at this address
- Perandoe Special Education District
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 103TS0200X
103TS0200X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois