Provider Demographics
NPI:1366014797
Name:TURNER, DELORES E (PHD, LMHC,MSW, MDIV)
Entity Type:Individual
Prefix:DR
First Name:DELORES
Middle Name:E
Last Name:TURNER
Suffix:
Gender:F
Credentials:PHD, LMHC,MSW, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 MOLINO AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-1132
Mailing Address - Country:US
Mailing Address - Phone:562-754-4784
Mailing Address - Fax:
Practice Address - Street 1:1881 MOLINO AVE APT 1
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-1132
Practice Address - Country:US
Practice Address - Phone:562-754-4784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7378103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling