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Dietra Duffala Teichmann, PHD
Clinical Neuropsychologist in Peoria, Illinois
NPI 1831181726

Dietra Duffala Teichmann is a Clinical Neuropsychologist based in Peoria, IL. Dietra Duffala Teichmann practices in Peoria, IL and has the professional credentials of PHD. The NPI Number for Dietra Duffala Teichmann is 1831181726 and holds a License No. (Illinois).

The current practice location address for Dietra Duffala Teichmann is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-282-1864 and via fax at 309-282-1867. You can also correspond with Dietra Duffala Teichmann through the mailing address at 5401 N KNOXVILLE AVE, PEORIA, IL - 61614-5098 (mailing address contact number: 309-282-1864).

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831181726
Provider Name
Dietra Duffala Teichmann
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-282-1864
Fax Number
309-282-1867
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7272021 01 IL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-282-1864
Fax Number
309-282-1867
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-282-1864
Fax Number
309-282-1867
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
(Illinois)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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