Dietchman, Renee L

Dietchman, Renee L is an individual health care provider with primary practice located at 3210 Gillham Rd , Kansas City MO 64109-1714. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Dietchman, Renee L can be contacted via phone (816) 531-7737.

Contact Information

Primary practice address
3210 Gillham Rd Kansas City MO 64109-1714
Phone: (816) 531-7737
Fax: (816) 531-7738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01720 Missouri

Profile Details

NPI number 1033166111
LBN Legal business name Dietchman, Renee L
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033166111 NPPES
Missouri MEDICAID 497956417

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