Healthcare Provider Details

I. General information

NPI: 1902171630
Provider Name (Legal Business Name): NATASHIA GRIDIRON PHD., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATASHIA CARTER

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13061 ROSEDALE HWY STE G-543
BAKERSFIELD CA
93314-7612
US

IV. Provider business mailing address

PO BOX 21934
BAKERSFIELD CA
93390-1934
US

V. Phone/Fax

Practice location:
  • Phone: 661-241-3008
  • Fax:
Mailing address:
  • Phone: 661-241-3008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number34221
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number77381
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: