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Nicole Dietrich

Psychologist, Clinical in Santa Ana, CA. Individual provider (NPI-1).

NPI number1619709466
StatusActive
Last updated in NPPESSep 22, 2026

Details

NPI
1619709466
Entity type
Individual (NPI-1)
Name
Nicole Dietrich
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2024
Certification date
Sep 22, 2026
Last updated
Sep 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical36956CAYes

Practice location

3631 S Harbor Blvd Ste 200
Santa Ana, CA 92704-7936

Phone 657-356-6490

Mailing address

3631 S Harbor Blvd Ste 200
Santa Ana, CA 92704-7936

Phone 657-356-6490

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