Moreno, Deirdre Marie

Moreno, Deirdre Marie is an individual health care provider with primary practice located at 762 Cypress St , San Dimas CA 91773-3505. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moreno, Deirdre Marie can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
762 Cypress St San Dimas CA 91773-3505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW77472 California
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW77472 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 101112 California

Profile Details

NPI number 1871911792
LBN Legal business name Moreno, Deirdre Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2014
Last updated Jan 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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