NPI 1003067919
Marcia C Diederich
Practice location
- Address
- 25250 N 35th Ave, Phoenix, AZ 85083-4335
- Phone
- (623) 445-7100
- Fax
- (623) 445-7180
Registered specialties
School Psychologist
Primary
Registry record
- NPI
- 1003067919
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Oct 2008
- Record last updated
- 9 Oct 2008
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.