MRS. Laura Dieckhoff, SCHOOL PSYCHOLOGIST
NPI #1134895493 in Port Jefferson, New York
Provider Information
- NPI Number
- 1134895493
- Entity Type
- Individual
- Name
- MRS. Laura Dieckhoff, SCHOOL PSYCHOLOGIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- SCHOOL PSYCHOLOGIST
- Enumeration Date
- Aug 17, 2021
- Last Updated
- Aug 17, 2021
Practice Location
- Address
- 6 BRIDLE PATH LN
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1514
- Phone
- (516) 233-6965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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