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Contact Information

BRENDA A DUFFEY JEPSEN
3530 POMONA BLVD
POMONA, CA91768-3238
 Phone: 909-444-7250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRENDA A DUFFEY JEPSEN · (Female)

NPI # 1619911120
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # PSY 18790
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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