MARCIA C DIEDERICH (NPI# 1003067919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003067919 |
Entity Type | Individual |
Full Name | MARCIA C DIEDERICH |
Practice Address |
25250 N 35th Ave Phoenix AZ 85083-4335 |
Practice Telephone | 6234457100 |
Practice Fax Number | 6234457180 |
Mailing Telephone | 6234457100 |
Mailing Fax Number | 6234457180 |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
4074924 | AZ | Behavioral Health & Social Service Providers |
Street Address |
25250 N 35TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85083-4335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104435320 | Lindsey Woods | Speech-Language Pathologist | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2020-07-23 |
1437792884 | Janice Lee Mackie | Registered Nurse | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2019-10-17 |
1144877994 | Shana Kelly | Speech-Language Pathologist | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2019-08-26 |
1770142788 | Courtney Woodward | Specialist/Technologist | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2019-06-12 |
1417435835 | Jonica Heather Clarke | Registered Nurse | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2018-07-30 |
1053857474 | Melissa Portela | Health Educator | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2017-01-09 |
1659548246 | Catherine J Danzinger | Registered Nurse | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2008-05-13 |
1407036411 | Christopher Harmonson | Counselor | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2007-11-07 |
1376723403 | Debbie Harmonson | Counselor | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2007-11-06 |
1013197144 | Cressa Elaine Jeter | Counselor | 25250 N 35th Ave, Phoenix, AZ 85083-4335 | 2007-11-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275042657 | Prestige Group Homes | Assisted Living Facility | 28001 N 31st Ave, Phoenix, AZ 85083 | 2017-09-28 |
1467702068 | Chirag Javia | Pharmacist | 5029 W. Buckskin Trail, Phoenix, AZ 85083 | 2012-09-12 |
1568944049 | Nicholas Ryan Wieferich | Pharmacist | 5450 W Happy Valley Rd, Phoenix, AZ 85083 | 2018-08-31 |
1992258743 | Andrew Jon Cefalo | Dentist | 25155 N 67th Ave Ste 142, Phoenix, AZ 85083 | 2016-07-28 |
1538643242 | Nel's Nest Assisted Living, LLC | Assisted Living Facility | 3655 W Dynamite Blvd, Phoenix, AZ 85083-0860 | 2018-09-18 |
1508211673 | Mansi Dave | Internal Medicine | 5164 W Quail Track Dr, Phoenix, AZ 85083-0863 | 2016-04-26 |
1043797905 | Kara A Fishgold | Nurse Practitioner | 6325 W Briles Rd, Phoenix, AZ 85083-1003 | 2018-07-24 |
1053455634 | Melanie O'rourke Speech Services, LLC | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2007-02-16 |
1538437538 | Melanie O'rourke | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2011-12-05 |
1508280496 | Stephen Wayne Champion | Registered Nurse | 25830 N 64th Ave, Phoenix, AZ 85083-1014 | 2014-02-12 |
Find all providers in zip 85083 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386171650 | Tracey Denise Manigault | Psychologist | 8900 N Central Ave Ste 105, Phoenix, AZ 85020-2846 | 2017-05-17 |
1316326044 | Nicole Nielsen | Psychologist | 622 E Nicolet Ave, Phoenix, AZ 85020-4943 | 2015-05-27 |
1770915985 | Jill Larkin | Psychologist | 7747 W Pipestone Pl, Phoenix, AZ 85035-5096 | 2013-07-30 |
1639488570 | Jacqueline Relyea | Psychologist | 6550 S 27th Ave, Phoenix, AZ 85041-5287 | 2010-09-27 |
1740597541 | Kyle Vessell | Psychologist | 2625 E Cheryl Dr, Phoenix, AZ 85028-4319 | 2010-09-01 |
1972819084 | Carl Grasso | Psychologist | 31413 N 20th Ave, Phoenix, AZ 85085-7021 | 2010-08-26 |
1568778132 | Deborah Vogt Purscell | Psychologist | 1247 E Glenhaven Dr, Phoenix, AZ 85048-4734 | 2010-08-20 |
1548575426 | Casie Rene'e Blount | Psychologist | 3609 N 27th St, Phoenix, AZ 85016-6747 | 2010-08-16 |
1093034209 | Tiffani Allen | Psychologist | 1002 E Sheridan St, Phoenix, AZ 85006-1647 | 2010-05-27 |
1205164167 | Parul Saxena | Psychologist | 8525 W Osborn Road, Desert Horizon School, Phoenix, AZ 85037 | 2009-12-03 |
Find all providers in PHOENIX |
Please comment or provide details below to improve the information on MARCIA C DIEDERICH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.