Provider Demographics
NPI:1366100927
Name:TURNER, MARIA R (MS, CA LEP, ABSNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:R
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS, CA LEP, ABSNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1931
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92247-1931
Mailing Address - Country:US
Mailing Address - Phone:760-399-7115
Mailing Address - Fax:
Practice Address - Street 1:78000 FRED WARING DR STE 102
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-9266
Practice Address - Country:US
Practice Address - Phone:760-399-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TF0000X, 103TM1800X
CA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities