Dietrich, Jody Marie
Dietrich, Jody Marie is an individual health care provider with primary practice located at 10B Prairie Trail , Greensboro NC 27410-9005. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dietrich, Jody Marie can be contacted via phone (336) 294-8692.Contact Information
Primary practice address
10B Prairie Trail
Greensboro NC 27410-9005
Phone: (336) 294-8692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 726 | North Carolina |
Profile Details
| NPI number | 1669419800 |
|---|---|
| LBN Legal business name | Dietrich, Jody Marie |
| Credentials | LPC MED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 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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