Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Debra Dietrich, PSYCHOLOGIST

Individual provider School Psychologist · NPI 1396947974

Debra Dietrich, PSYCHOLOGIST is a School Psychologist in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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Practice location Address checks out

2404 E Empire St
Bloomington, IL 61704-3630
Phone: (309) 663-8275
Fax: (309) 687-2035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 1062455 (IL)

Record details

NPI number1396947974
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGIST
Sole proprietorYes
NPI enumeratedJune 5, 2007
Last updated in NPPESJuly 8, 2007

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