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PRESTON LEE HERDT LMFT NPI 1619598760


NPI Information

NPI: 1619598760
Provider Name: PRESTON LEE HERDT, LMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
12396 WORLD TRADE DR STE 109
SAN DIEGO, CA
ZIP 92128
Phone: (619) 630-8033
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Preston Lee Herdt, LMFT is a marriage family therapist in San Diego, 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. Preston Lee Herdt, LMFT NPI is 1619598760. 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:

12396 WORLD TRADE DR STE 109
SAN DIEGO, CA
ZIP 92128-787
Phone: (619) 630-8033

The enumeration date for this NPI number is 4/29/2020 and was last updated on 12/18/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional10491CALIFORNIANo
2106H00000XMarriage & Family Therapist128647CALIFORNIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4106H00000XMarriage & Family Therapist143009CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1128647OTHERCALIFORNIAAMFT
210491OTHERCALIFORNIAAPCC
3143009OTHERCALIFORNIALMFT

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: 4/28/2024

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