Debra Dietrich, PSYCHOLOGIST

NPI 1396947974 · on the registry since 2007 · sole proprietor

Practice

Address: 2404 E Empire St
Bloomington, IL 61704
Phone: (309) 663-8275
Fax: (309) 687-2035
Organisation at this address: Sydni Neal Counseling, Pllc
Carley Nigro Counseling, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 103TS0200X
103TS0200X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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