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

Primary practice address
7707 Austin Rd Stockton CA 95215-8312
Phone: (209) 467-3605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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