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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DIETRA DUFFALA TEICHMANN PH.D.
NPI 1831181726
Clinical Neuropsychologist in Peoria, IL

Active since August 17, 2005
5401 N KNOXVILLE AVE, SUITE 217, PEORIA, IL 61614(309) 282-1864(309) 282-1867 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dietra Duffala Teichmann Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIETRA DUFFALA TEICHMANN PH.D. (NPI 1831181726) is an individual clinical neuropsychologist in Peoria, Illinois and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1831181726
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDIETRA DUFFALA TEICHMANNCredential: PH.D.
Location Address5401 N KNOXVILLE AVE, SUITE 217Peoria, IL 61614-5098
Mailing Address5401 N Knoxville Ave, Suite 217Peoria, IL 61614-5098 · (309) 282-1864 · Fax (309) 282-1867
Phone(309) 282-1864
Fax(309) 282-1867
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1831181726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
5401 N KNOXVILLE AVE, Peoria, IL 61614
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Other Identifiers 1

Other7272021IL · Blue Cross/blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Peoria County (309) 689-8888
PATTI L ALLY
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Peoria County (309) 282-0887
PROCTOR HEALTH SYSTEMS
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Peoria County (309) 691-7800
MS. BARBARA J NALL APN
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Peoria County (309) 692-5100
SUSAN GWILLIM PT
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Peoria County (309) 693-2244
MR. KEVIN M HENRY MD
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Peoria County (309) 692-7246
MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
SUSAN J COLE, MD & ASSOCIATES
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614
Peoria County (309) 691-2311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dietra Teichmann's NPI number?

The NPI number for Dietra Teichmann is 1831181726. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Dietra Teichmann located?

Dietra Teichmann practices at 5401 N Knoxville Ave Suite 217, Peoria, IL 61614. The listed phone number is (309) 282-1864.

What is Dietra Teichmann's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Dietra Teichmann was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.