Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEANDRE DICKERSON
Active Sole ProprietorDEANDRE DICKERSON is a Peer Specialist healthcare provider located in GARDENA, California. NPI 1013641059 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · GARDENA, CA
Registration Details
- NPI Number
- 1013641059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2022 (4.1037488605616 yrs)
- Last Updated
- Jul 14, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
15519 CRENSHAW BLVDGARDENA, CA, 902494525Browse CA providers · Browse ZIP 90249
- Phone
- 3106792730
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in GARDENA, CA
| Name | Credential | NPI |
|---|---|---|
| DEANNA MARIE KING | — | 1629211396 |
| EMIRO BLOM | — | 1568122414 |
| MARIJUANE ISABELL VALADEZ | — | 1457011173 |
| JESSICA GALDAMEZ | — | 1629773965 |
| ANA DIAZ | — | 1720868359 |
| WAYMAN THOMPSON | — | 1174391320 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.