Provider Demographics
NPI:1497892178
Name:PRIEBE, DANA APRIL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:APRIL
Last Name:PRIEBE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:APRIL
Other - Last Name:PRIEBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5838 EDISON PL STE 100
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-5520
Mailing Address - Country:US
Mailing Address - Phone:760-300-3664
Mailing Address - Fax:760-444-2211
Practice Address - Street 1:5838 EDISON PL STE 100
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008
Practice Address - Country:US
Practice Address - Phone:760-300-3664
Practice Address - Fax:760-444-2211
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 390200000X
CAPSY26506103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program