DIETRA DUFFALA TEICHMANN

PEORIA, IL
NPI1831181726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: IL  071-002543)
Enumeration Date2005-08-17
Last Update Date2007-07-08
Business Address
-- DIETRA DUFFALA TEICHMANN Ph.D.
5401 N KNOXVILLE AVE SUITE 217
PEORIA, IL 61614-5098
Phone number: 309-282-1864
Mailing Address
-- DIETRA DUFFALA TEICHMANN Ph.D.
5401 N KNOXVILLE AVE SUITE 217
PEORIA, IL 61614-5098
Phone number: 309-282-1864
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