Individual
DALE HIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2601 AIRPORT DR STE 135, TORRANCE, CA 90505-6141
(424) 424-1600
(424) 201-1601
Mailing address
2601 AIRPORT DR STE 135, TORRANCE, CA 90505-6141
(424) 424-1600
(424) 201-1601
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY34595
CA
390200000X
Student in an Organized Health Care Education/Training Program
PSB94027066
CA
Other
Enumeration date
03/29/2023
Last updated
10/16/2023
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