D Teichmann PC

NPI #1235219973 in Peoria, Illinois

Provider Information

NPI Number: 1235219973
Entity Type: Organization
Organization Name: D Teichmann PC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4715 N LAUREL DR
City: Peoria
State: Illinois
ZIP Code: 61614-5533
Phone: (309) 691-7161

Authorized Official

Name: DR. DIETRA DUFFALA TEICHMANN, PH.D.
Title: OWNER
Phone: (309) 691-7161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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