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Roman Dietrich, PSYD
Marriage & Family Therapist in Stockton, California
NPI 1194857730

Roman Dietrich is a Marriage & Family Therapist based in Rancho Cordova, CA. Roman Dietrich practices in Stockton, CA and has the professional credentials of PSYD. The NPI Number for Roman Dietrich is 1194857730 and holds a License No. (California).

The current practice location address for Roman Dietrich is 7707 Austin Rd, Stockton, CA and can be reached out via phone at 209-467-3605. You can also correspond with Roman Dietrich through the mailing address at 3994 PINOCHE PEAK WAY, RANCHO CORDOVA, CA - 95742-7731 (mailing address contact number: 714-309-8585).

Location: 7707 Austin Rd, Stockton, CA, 95742-7731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194857730
Provider Name
Roman Dietrich
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
7707 Austin Rd, Stockton, CA, 95742-7731
Phone Number
209-467-3605
Fax Number
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7707 Austin Rd
City
Stockton
State
California
Zip
95215-8312
Phone Number
209-467-3605
Fax Number
person
Provider Business Mailing Address Details
Address
7707 Austin Rd
City
Stockton
State
California
Zip
95215-8312
Phone Number
209-467-3605
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
IMF 44745 (California)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
29575 (California)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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