Dr. JESSICA DIETCH PhD, DBSM
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1588301634- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD, DBSM
- Status
- Active
Contact & Location
- Address
- 3481 NW MAXINE CIR, CORVALLIS, OR, 973303727
- Phone
- (541) 900-5941
Specialties & Taxonomies
Psychologist, Clinical
Primary License: OR #3295
All Addresses
MAILING
3481 NW MAXINE CIR
CORVALLIS, OR, 973303727