DIEDRICH WASSERBAUER - NPI 1225888142 - Counselor in Glendale, AZ

Q: What is Diedrich Wasserbauer's NPI number?

The NPI number for Diedrich Wasserbauer is 1225888142. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Diedrich Wasserbauer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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About Diedrich Wasserbauer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIEDRICH WASSERBAUER (NPI 1225888142) is an individual mental health provider in Glendale, Arizona, licensed in Arizona (LAC-19445) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1225888142

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDIEDRICH WASSERBAUER

Location Address7075 W BELL RD STE A-1Glendale, AZ 85308-8546

Mailing AddressPo Box 12468Glendale, AZ 85318-2468 · (602) 339-2457

Phone(602) 488-6104

Sole ProprietorYes

Enumeration DateMarch 25, 2024

Last NPPES UpdateMarch 17, 2025

NPPES CertifiedMarch 17, 2025

✔ NPI 1225888142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · LAC-19445

7075 W BELL RD STE A-1, Glendale, AZ 85308

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAM UNDERSTANDS COUNSELING, LLC

Clinic/Center (Adult Mental Health)