Whalio Doctors

NPI 1003067919

Marcia C Diederich

Practitioner School Psychologist Phoenix, AZ

Practice location

Address
25250 N 35th Ave, Phoenix, AZ 85083-4335
Phone
(623) 445-7100
Fax
(623) 445-7180

Registered specialties

School Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 4074924 (AZ)

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.