SALLIE DIETRICH MS NPI 1992036693

NPI Information

  • NPI: 1992036693
  • Provider Name: SALLIE DIETRICH, MS
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 905 E 3RD ST
    GROVE, OK
    ZIP 74344
  • Phone: (918) 787-2104

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NPI Details

Sallie Dietrich, MS is a counselor in Grove, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Sallie Dietrich, MS NPI is 1992036693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

905 E 3RD ST
GROVE, OK
ZIP 74344-949
Phone: (918) 787-2104
Fax: (918) 787-2106

The enumeration date for this NPI number is 1/19/2010 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1731013488MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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