Connor Dietz, B.S. SLPA

NPI 1700350857 · on the registry since 2019 · sole proprietor

Practice

Address: 5980 Radio Station Rd
La Plata, MD 20646
Phone: (410) 212-0974
Organisation at this address: Charles County Board Of Education
Charles County Board Of Education
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 72

Registry record

Primary taxonomy: 2355S0801X
2355S0801X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-01-11

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 Maryland