Dietsch, Andrea

Dietsch, Andrea is an sole proprietor health care provider with primary practice located at 3737 Lander Rd , Pepper Pike OH 44124-5712. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dietsch, Andrea can be contacted via phone (419) 376-7217.

Contact Information

Primary practice address
3737 Lander Rd Pepper Pike OH 44124-5712
Phone: (419) 376-7217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S 1302931 Ohio
Behavioral Health & Social Service Providers / School 1041S0200X S 1302931 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1700233 Ohio

Profile Details

NPI number 1427452820
LBN Legal business name Dietsch, Andrea
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2014
Last updated Apr 5th, 2017 - about 8 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 1427452820 NPPES
Ohio MEDICAID 2871101

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