Individual provider · Type 1 NPI

Laura Dieckhoff, SCHOOL PSYCHOLOGIST

Student in an Organized Health Care Education/Training Program · Port Jefferson, NY

NPI number 1134895493 Active

Practice location

6 Bridle Path Ln
Port Jefferson, NY 11777-1514

Call (516) 233-6965 Map

Other practice locations

  • 90 Adams Ave # 110, Hauppauge, NY 11788-3631 · (631) 952-3333

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134895493

Laura Dieckhoff, SCHOOL PSYCHOLOGIST's National Provider Identifier is 1134895493, issued on Aug 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson, NY. The record was last updated on Aug 17, 2021.