National Provider Identifier
Kelly L Dietz
Kelly L Dietz is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Watkins Glen, NY and a listed phone number of (607) 535-8282.
Profile Overview
- NPI
- 1528937836
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 04, 2025
- Last Updated
- November 04, 2025
Practice Location
- 106 S Perry St
- Watkins Glen, NY 14891-1636
Phone: (607) 535-8282
Mailing Address
- 2962 S. Swamp RD
- Alpine, NY 14805
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1528937836
- Entity Type
- Individual
- Last Name
- Dietz
- First Name
- Kelly
- Middle Name
- L
- Mailing Street Address
- 2962 S. Swamp RD
- Mailing City
- Alpine
- Mailing State
- NY
- Mailing ZIP Code
- 14805
- Mailing Country
- US
- Practice Street Address
- 106 S Perry St
- Practice City
- Watkins Glen
- Practice State
- NY
- Practice ZIP Code
- 14891-1636
- Practice Country
- US
- Practice Phone
- (607) 535-8282
- Enumeration Date
- November 04, 2025
- Last Updated
- November 04, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)