Stacy Diekmann, SSP, NCSP

NPI #1235657941 in Red Bud, Illinois

Provider Information

NPI Number: 1235657941
Entity Type: Individual
Name: Stacy Diekmann, SSP, NCSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: SSP, NCSP
Enumeration Date: Sep 1, 2017
Last Updated: Sep 1, 2017

Practice Location

Address: 1525 LOCUST ST
City: Red Bud
State: Illinois
ZIP Code: 62278-1374
Phone: (618) 282-6251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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