| Andrya Dieter, Psyd, Lp, Llc | |
|
3101 Old Highway 8 Suite 304b Roseville MN 55113-1072 | |
| (763) 478-1283 | |
| (651) 952-0304 |
| Full Name | Andrya Dieter, Psyd, Lp, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3101 Old Highway 8, Roseville, Minnesota |
| Authorized Official Name and Position | Andrya Dieter (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7634781283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrya Dieter, Psyd, Lp, Llc 5219 Jeffery Dr Saint Paul MN 55112-4950 Ph: (763) 478-1283 | Andrya Dieter, Psyd, Lp, Llc 3101 Old Highway 8 Suite 304b Roseville MN 55113-1072 Ph: (763) 478-1283 |
| NPI Number | 1083163745 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083163745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5360 (Minnesota) | Primary |
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