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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194857730

Roman Dietrich, PSYD is a Student in an Organized Health Care Education/Training Program in Stockton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

7707 Austin Rd
Stockton, CA 95215-8312
Phone: (209) 467-3605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 29575 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Marriage & Family Therapist Taxonomy 106H00000X · Licence IMF 44745 (CA)

Record details

NPI number1194857730
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

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