MS. HEATHER MARIE DIEDERICH


Address: 277 South St, Ste. Y, San Luis Obispo, CA 93401-5039
Phone: 8055415144

MS. HEATHER MARIE DIEDERICH (NPI# 1366779522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366779522
Entity Type Individual
Full Name MS. HEATHER MARIE DIEDERICH
Practice Address 277 South St
Ste. Y
San Luis Obispo
CA 93401-5039
Mailing Address Po Box 15408
San Luis Obispo
CA 93406-5408
Practice Telephone 8055415144
Mailing Telephone 8055415144
Enumeration Date 2009-11-09
Last Update Date 2009-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers HEATHER DIEDERICH

NPI Name Taxonomy Address Enumeration
1326101080 Heather Lynn Diederich Chiropractor 368 Dorset St, Ste 3, South Burlington, VT 05403-6236 2006-12-17

Office Location

Street Address 277 SOUTH ST
STE. Y
City SAN LUIS OBISPO
State CA
Zip Code 93401-5039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235137738 Wilshire Health and Community Services, Inc. Home Health 277 South St, Suite W, San Luis Obispo, CA 93401-5039 2005-07-08
1326586140 Alexa Joy Talbert Social Worker 277 South St, Suite T, San Luis Obispo, CA 93401-5039 2017-02-01
1649573924 Aquila Rose Corley Counselor 277 South St, San Luis Obispo, CA 93401-5039 2010-12-08
1659689644 Holl-lee Huffman Lawrence Marriage & Family Therapist 277 South St, Suite T, San Luis Obispo, CA 93401-5039 2010-09-23
1285956573 Francsico Javier Fernandez Jr. Counselor 277 South St, San Luis Obispo, CA 93401-5039 2010-02-27
1487976734 Nicole Temons Counselor 277 South St, San Luis Obispo, CA 93401-5039 2010-02-26
1639401235 Julie K May Case Manager/Care Coordinator 277 South St, San Luis Obispo, CA 93401-5039 2010-02-05
1235464744 John Michael Byers Counselor 277 South St, Ste Y, San Luis Obispo, CA 93401-5039 2009-10-16
1366776478 Kathleen Mary Piedmonte Counselor 277 South St, Suite Y, San Luis Obispo, CA 93401-5039 2009-09-22
1134352495 Cami Rouse Counselor 277 South St, Suite Y, San Luis Obispo, CA 93401-5039 2009-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1134615966 Alyssa Carmina Schutzman Counselor 1255 Kendall Rd., San Luis Obispo, CA 93401-9340 2018-07-04
1245725803 Sarah Minh Christman Counselor 540 South St Apt B, San Luis Obispo, CA 93401-5106 2018-06-26
1538668652 Barton Bodrian Counselor 670 Hill St, San Luis Obispo, CA 93405-2373 2018-02-04
1164941738 Bridget Schinnerer Counselor 381 Pismo St, San Luis Obispo, CA 93401-3828 2017-09-14
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1134587454 Taylor Barnett Counselor 668 Johnson Ave, San Luis Obispo, CA 93401-2408 2016-02-01
1699131623 Daniel Keller Counselor 785 High St, San Luis Obispo, CA 93401-5235 2016-01-06
1700241874 Linda Hainline Counselor 3000 Augusta St, #129, San Luis Obispo, CA 93401-5859 2015-12-16
1942693858 Amber Kae Scangarello Counselor 125 Kendall Rd, San Luis Obispo, CA 93401 2015-03-17
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Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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