| Doctor Name: | MRS. BARBARA ANN DIERICKX |
| NPI Number: | 1043427628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4704195522 |
| Business Practice Address: | 1270 Doris Rd Auburn Hills, MI - 483262617 |
| Business Phone Number: | 2483205240 |
| Business Fax Number: | 2482769280 |
| Mailing Address: | 217 Rose Brier Dr, ROCHESTER HILLS |
| State: | MI |
| Postal Code: | 483091124 |
| Phone Number: | 2483732299 |
| Fax Number: | 2482769280 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 4704195522 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |