Dietra Duffala Teichmann, PH.D.

NPI #1831181726 in Peoria, Illinois

Provider Information

NPI Number
1831181726
Entity Type
Individual
Name
Dietra Duffala Teichmann, PH.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Clinical Neuropsychologist
Credential
PH.D.
Enumeration Date
Aug 17, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
5401 N KNOXVILLE AVE
Address 2
SUITE 217
City
Peoria
ZIP Code
61614-5098
Phone
(309) 282-1864

Specialties & Taxonomy Codes

Specialty
Clinical Neuropsychologist

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