Individual
DR. JUDITH K DIETCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
200 S MAIN ST, STE D, TEMPLETON, CA 93465-9366
(805) 434-3586
Mailing address
PO BOX 448, TEMPLETON, CA 93465-0448
(805) 434-3586
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY7294
PSYCHOLOGIST LIC
CA
Enumeration date
04/13/2007
Last updated
10/06/2016
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