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Individual

DR. REBECCA MARIE VON DUERING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., NCSP, LEP

Contact information

Practice address
45 PARKER, SUITE C, IRVINE, CA 92618-1657
(949) 280-0861
(949) 855-0134
Mailing address
45 PARKER, SUITE C, IRVINE, CA 92618-1657
(949) 280-0861
(949) 855-0134

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
LEP 2925
CA
103T00000X
Psychologist
LEP 2925
CA
103TB0200X
Cognitive & Behavioral Psychologist
LEP 2925
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LEP 2925
CA
103TS0200X
School Psychologist
Primary
LEP 2925
CA

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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