Dietrich, Roman
Dietrich, Roman is an individual health care provider with primary practice located at 7707 Austin Rd , Stockton CA 95215-8312. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Dietrich, Roman can be contacted via phone (209) 467-3605.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 29575 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF 44745 | California |
Profile Details
NPI number | 1194857730 |
---|---|
LBN Legal business name | Dietrich, Roman |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2007 |
Last updated | May 3rd, 2023 - about last year |
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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