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DR. BRIAN DAMIEN DIETRICH PH.D. NPI 1356360812


NPI Information

NPI: 1356360812
Provider Name: DR. BRIAN DAMIEN DIETRICH, PH.D.
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
1531 PURDUE AVE
LOS ANGELES, CA
ZIP 90025
Phone: (310) 564-9464
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DR. Brian Damien Dietrich, PH.D. is a marriage family therapist in Los Angeles, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. DR. Brian Damien Dietrich, PH.D. NPI is 1356360812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1531 PURDUE AVE
LOS ANGELES, CA
ZIP 90025
Phone: (310) 564-9464
Fax: (415) 507-4114

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistMFT36493CALIFORNIANo
2106H00000XMarriage & Family TherapistLMFT36493CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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