Edison-Riley, Deandra
Edison-Riley, Deandra is an individual health care provider with primary practice located at 11201 Benton St , Loma Linda CA 92357-1403. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Edison-Riley, Deandra can be contacted via phone (909) 825-7084.Contact Information
Primary practice address
11201 Benton St
Loma Linda CA 92357-1403
Phone: (909) 825-7084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 73866 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1336556026 |
|---|---|
| LBN Legal business name | Edison-Riley, Deandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2014 |
| Last updated | Apr 7th, 2025 - about last year |
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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