Kirk W Ditterich, PSYD in Truckee, CA - Psychologist

Kirk W Ditterich, PSYD is a Psychologist - Clinical based in Truckee, California. Kirk W Ditterich is licensed to practice in California (license number PSY23279) and his current practice location is 10956 Donner Pass Rd, Ste 330, Truckee, California. He can be reached at his office (for appointments etc.) via phone at (530) 582-6450.

NPI number for Kirk W Ditterich is 1720301955 and his current mailing address is Po Box 60901, Truckee, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720301955.

Contact Information

	Kirk W Ditterich, PSYD
	10956 Donner Pass Rd, Ste 330, Truckee, CA 96161-4861
	(530) 582-6450
	(530) 582-6430

Healthcare Provider's Profile

Full Name	Kirk W Ditterich
Gender	Male
Speciality	Psychologist - Clinical
Location	10956 Donner Pass Rd, Truckee, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1720301955
Provider Enumeration Date: 03/02/2010
Last Update Date: 03/02/2010

Medical Identifiers

Medical identifiers for Kirk W Ditterich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720301955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY23279 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kirk W Ditterich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kirk W Ditterich, PSYD Po Box 60901, Truckee, CA 96160-9001 Ph: (530) 582-6862	Kirk W Ditterich, PSYD 10956 Donner Pass Rd, Ste 330, Truckee, CA 96161-4861 Ph: (530) 582-6450

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Kirk W Ditterich, PSYD - Psychologist in Truckee, CA