Deitchler, Gregory M

Deitchler, Gregory M is an sole proprietor health care provider with primary practice located at 3061 S. Meridian Rd. Suite 100, Meridian ID 83642. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Deitchler, Gregory M can be contacted via phone (208) 350-0330.

Contact Information

Primary practice address
3061 S. Meridian Rd. Suite 100 Meridian ID 83642
Phone: (208) 350-0330
Fax: (208) 576-6915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-949 Idaho
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC949 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT2935 Idaho

Profile Details

NPI number 1013196716
LBN Legal business name Deitchler, Gregory M
Credentials MA L.M.F.T., L.P.C.,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2007
Last updated Jan 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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