Provider Demographics
NPI:1184240616
Name:MCCLENDON, DEBRA WALKER (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:WALKER
Last Name:MCCLENDON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1093 CALLE CARRILLO
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-4300
Mailing Address - Country:US
Mailing Address - Phone:909-374-7935
Mailing Address - Fax:909-575-6717
Practice Address - Street 1:100 PIERRE RD STE A
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-2565
Practice Address - Country:US
Practice Address - Phone:909-374-7935
Practice Address - Fax:909-575-6717
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other