NPI 1083163745

Andrya Dieter, PSYD, LP, LLC

Organisation Community/Behavioral Health Agency Roseville, MN

Practice location

Address: 3101 Old Highway 8 Suite 304b, Roseville, MN 55113-1072
Phone: (763) 478-1283
Fax: (651) 952-0304
Mailing address: 5219 Jeffery Dr, Saint Paul, MN 55112-4950

Authorised official

Name: Andrya Dieter
Title: Licensed Psychologist
Phone: (763) 478-1283

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 5360 (MN)

Other Community/Behavioral Health providers in Minnesota →

Registry record

NPI: 1083163745
Entity type: Organization
NPI issued: 22 Sep 2016
Record last updated: 22 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.