MEDICARE: MARIA R TURNER M.S., CA LEP, ABSNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103TF0000X	Family Psychologist
2	103TM1800X	Intellectual & Developmental Disabilities Psychologist
3	103TS0200X	School Psychologist	CA

General Provider Information

NPI Number	:	1366100927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA R TURNER M.S., CA LEP, ABSNP

Provider Business Mailing Address
First Line	:	PO BOX 1931
Second Line	:
City	:	LA QUINTA
State	:	CA
Zip	:	92247-1931
Country	:	US
Telephone Number	:	760-399-7115
Fax Number	:

Provider Business Practice Location Address
First Line	:	78000 FRED WARING DR STE 102
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-9266
Country	:	US
Telephone Number	:	760-399-7115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2021
Last Update Date	:	09/19/2024

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