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1104476126
ZACHARY CLAYBORNE DIETRICH
LOUISVILLE, KY
NPI
1104476126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 252672)
Enumeration Date
2019-09-12
Last Update Date
2019-09-12
Business Address
Dr. ZACHARY CLAYBORNE DIETRICH Psy.D.
100 EXECUTIVE PARK STE 103
LOUISVILLE, KY 40207-4201
Phone number: 502-313-6880
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Mailing Address
Dr. ZACHARY CLAYBORNE DIETRICH Psy.D.
910 HOWSER RD
HENRYVILLE, IN 47126-8616
Phone number: 502-807-2481
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