Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diedrich Wasserbauer

Individual provider Mental Health Counselor · NPI 1225888142

Diedrich Wasserbauer is a Mental Health Counselor in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

7075 W Bell Rd Ste A-1
Glendale, AZ 85308-8546
Phone: (602) 488-6104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC-19445 (AZ)

Record details

NPI number1225888142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

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