Deandra Edison-Riley
Psychologist in Loma Linda, CA. Individual provider (NPI-1).
NPI number1336556026
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1336556026
- Entity type
- Individual (NPI-1)
- Name
- Deandra Edison-Riley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2014
- Certification date
- Apr 7, 2025
- Last updated
- Apr 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 106H00000X | Marriage & Family Therapist | 73866 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11201 Benton StLoma Linda, CA 92357-1403
Phone 909-825-7084
Mailing address
447 N El Molino AvePasadena, CA 91101-1403
Phone 626-577-8480
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