SALLIE DIETRICH MS NPI 1992036693

NPI Information

NPI: 1992036693
Provider Name: SALLIE DIETRICH, MS
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
905 E 3RD ST
GROVE, OK
ZIP 74344
Phone: (918) 787-2104
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Sallie Dietrich, MS is a counselor in Grove, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Sallie Dietrich, MS NPI is 1992036693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

905 E 3RD ST
GROVE, OK
ZIP 74344-949
Phone: (918) 787-2104
Fax: (918) 787-2106

The enumeration date for this NPI number is 1/19/2010 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	731013488	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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