Individual
AMIE DEITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
925 BROADBECK DR STE 225, NEWBURY PARK, CA 91320-1272
(805) 628-2108
Mailing address
665 VIA OVIEDO, NEWBURY PARK, CA 91320-7059
(858) 204-1211
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
145328
CA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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