Individual provider · Type 1 NPI

Lauren Grey Didesch, PSY.D.

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1407764541 Active

Practice location

900 Main St Ste 270
Peoria, IL 61602-1005

Call (309) 495-1640 Map

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 1407764541

Lauren Grey Didesch, PSY.D.'s National Provider Identifier is 1407764541, issued on Aug 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Aug 31, 2026.