Provider Demographics
NPI:1679099733
Name:DIPIETRO, WINDY (MA LMFT)
Entity Type:Individual
Prefix:
First Name:WINDY
Middle Name:
Last Name:DIPIETRO
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11753 HIDDEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-8706
Mailing Address - Country:US
Mailing Address - Phone:530-273-5355
Mailing Address - Fax:
Practice Address - Street 1:11753 HIDDEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95949-8706
Practice Address - Country:US
Practice Address - Phone:530-273-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34473106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist