Individual
BRENDA A DUFFEY-JEPSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 POMONA BLVD, POMONA, CA 91768-3238
(909) 444-7250
Mailing address
3530 POMONA BLVD, POMONA, CA 91768-3238
(909) 444-7250
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY 18790
CA
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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