Sallie Dietrich, ms
Counselor in Grove, OK. Individual provider (NPI-1).
NPI number1992036693
StatusActive
Last updated in NPPESJan 19, 2010
Details
- NPI
- 1992036693
- Entity type
- Individual (NPI-1)
- Name
- Sallie Dietrich
- Credential
- ms
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2010
- Last updated
- Jan 19, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
905 E 3rd StGrove, OK 74344-7949
Phone 918-787-2104 · Fax 918-787-2106
Mailing address
905 E 3rd StGrove, OK 74344-7949
Phone 918-787-2104 · Fax 918-787-2106
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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