Larry Stephen Dietz, PHD Valid NPI
Individual provider · Marriage & Family Therapist · Novato, CA
- NPI
- 1235880097
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- MFT13858 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-01-13
- Last updated
- 2022-01-13
Practice location
3 Hamilton Lndg Ste 230
Novato, CA 94949-2848
(415) 883-5594