Deidra R Wells, LMFT | |
8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671 | |
(442) 327-9311 | |
(442) 327-9311 |
Full Name | Deidra R Wells |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 8253 White Oak Ave, Rancho Cucamonga, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639696610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 72411 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 119415 (California) | Primary |
Entity Name | High Desert Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
Mailing Address | Practice Location Address |
---|---|
Deidra R Wells, LMFT 8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671 Ph: (760) 953-7625 | Deidra R Wells, LMFT 8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671 Ph: (442) 327-9311 |
Theresa Strand, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730 Phone: 909-989-9724 | |
Keisha Marshall, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9047 Arrow Rte, Suite 170, Rancho Cucamonga, CA 91730 Phone: 909-466-8696 | |
Lana Kayal, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10604 N Trademark Pkwy Ste 308, Rancho Cucamonga, CA 91730 Phone: 909-484-2848 | |
Salvador Ardon, PH.D.,LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7777-b Milliken Ave., Rancho Cucamonga, CA 91730 Phone: 909-944-3559 Fax: 909-944-3546 | |
Ms. Ana Cecilia Arce, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10722 Arrow Rte, Suite 308, Rancho Cucamonga, CA 91730 Phone: 909-377-8707 Fax: 909-494-5505 | |
Ms. Vicky A Popper, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9540 Center Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-980-2789 | |
Mrs. Nicole Lorin Serrano, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10601 Civic Center Dr Ste 120c, Rancho Cucamonga, CA 91730 Phone: 909-300-5746 |