Deandra Edison-riley, is a
Student In An Organized Health Care Education/training Program based in Pasadena, California. Deandra Edison-riley is licensed to practice in * (Not Available) (license number ) and her current practice location is
447 N El Molino Ave, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 577-8480.
NPI number for Deandra Edison-riley is 1336556026 and her current mailing address is 447 N El Molino Ave, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336556026.
Healthcare Provider's Profile
| Full Name | Deandra Edison-riley |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 447 N El Molino Ave, Pasadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336556026
- Provider Enumeration Date: 07/15/2014
- Last Update Date: 07/28/2023
Medical Identifiers
Medical identifiers for Deandra Edison-riley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336556026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 73866 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deandra Edison-riley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deandra Edison-riley,
447 N El Molino Ave,
Pasadena, CA 91101-1403
Ph: (626) 577-8480 | Deandra Edison-riley,
447 N El Molino Ave,
Pasadena, CA 91101-1403
Ph: (626) 577-8480 |
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