DR. Brian Vincent Dieckmann, PSYD

NPI #1598906216 in Cedar Lake, Indiana

Provider Information

NPI Number: 1598906216
Entity Type: Individual
Name: DR. Brian Vincent Dieckmann, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Mar 9, 2009
Last Updated: Mar 9, 2009

Practice Location

Address: 13650 HIGHLAND ST
City: Cedar Lake
State: Indiana
ZIP Code: 46303-9800
Phone: (219) 677-2462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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