Jacob William Diestelmann, PH.D.

Psychologist · Marshfield, WI

Individual Active NPI

NPI number 1376064709

Practice location

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(715) 387-5703

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NPI record

NPI
1376064709
Entity type
Individual (Type 1)
Enumeration date
July 6, 2017
Last updated
February 16, 2024
Certified
February 16, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 3608 WI

About Dr. Diestelmann

Jacob William Diestelmann, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1000 N Oak Ave, Marshfield, WI 54449-5703. The NPI number 1376064709 was assigned on July 6, 2017 and the record was last updated on February 16, 2024.

Dr. Diestelmann lists a license in the registry: #3608 (WI) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob William Diestelmann, PH.D.?

The NPI number is 1376064709.

What is the phone number of Dr. Diestelmann?

The phone number listed for the practice location is (715) 387-5703.

Where is Dr. Diestelmann located?

1000 N Oak Ave, Marshfield, WI 54449-5703.

What is the taxonomy code for Dr. Diestelmann?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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