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JACLYN DIETZOLD, M.D.
M.D.
Psychiatry Physician
NPI: 1194138826IndividualAccepts Medicare
Specialties, Licenses & Credentials
Psychiatry PhysicianPrimary
Psychiatry & Neurology — Psychiatry
Code: 2084P0800X
MT207389(PA)MD470050(PA)
CMS Specialties
PrimaryPSYCHIATRY
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 100 E LEHIGH AVE, MAB BLDG STE 105
PHILADELPHIA, PA 19125 - Phone
- (215) 707-8496
Quick Facts
- NPI
- 1194138826
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 12
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