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Contact Information

MABEL A DUERKS, LEP
42586 BRADSHAW DR
TEMECULA, CA92592-6639
 Phone: 619-632-7079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MABEL A DUERKS · (Female)

NPI # 1588368815
Status Active
Credentials LEP
Entity Individual
Enumeration date 03/29/2023
Last updated 03/29/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 4000
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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