Doctor Name: | MR. DENNIS DION DURBY |
NPI Number: | 1003986902 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.W. |
License Number: | LCS15167 |
Business Practice Address: | 524 W Commonwealth Ave Suite K Fullerton, CA - 928321764 |
Business Phone Number: | 7146800241 |
Business Fax Number: | |
Mailing Address: | 524 W Commonwealth Ave, Suite K FULLERTON |
State: | CA |
Postal Code: | 928321764 |
Phone Number: | 7142097595 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS15167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |