Provider Demographics
NPI:1699845404
Name:DIEKMAN, BARBARA JUNE (MFT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JUNE
Last Name:DIEKMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:JUNE
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2187 CASTILLA WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056
Mailing Address - Country:US
Mailing Address - Phone:760-439-2600
Mailing Address - Fax:760-439-2600
Practice Address - Street 1:2187 CASTILLA WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056
Practice Address - Country:US
Practice Address - Phone:760-439-2600
Practice Address - Fax:760-439-2600
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25435106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist