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Active NPI 1396947974 Individual Practitioner Female Practitioner

Debra Dietrich , PSYCHOLOGIST

Psychologist - School • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Debra Dietrich, PSYCHOLOGIST is a registered healthcare professional specializing in Psychologist - School in Bloomington, IL. Practice services are available at 2404 E EMPIRE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2404 E Empire St

Bloomington, IL 617043630

Telephone 3096638275
Fax 3096872035

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Bloomington, IL (653 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License IL 1062455

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
NPI 1023142619

PHYSICALTHERAPIST

Jim Cooper

Developmental Therapist

NPI 1033548367
NPI 1063546216

PHYSICALTHERAPIST

Kristin Mcclure , SPEECH THERAPIST

Speech-Language Pathologist

NPI 1063546265

SPEECHTHERAPIST

Hannah Ortell

Behavior Technician

NPI 1083411755
NPI 1093830184

PHYSICALTHERAPIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2404 E EMPIRE ST, BLOOMINGTON, IL 617043630 (Tel: 3096638275)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 991, MORTON, IL 615500991 (Tel: 3096783155)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEBRA DIETRICH, PSYCHOLOGIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1062455 in IL)

🟢
Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396947974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 991

Morton, IL 615500991

Phone: 3096783155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
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