Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deitra Renee Pough

Individual provider Peer Specialist · NPI 1770391104

Deitra Renee Pough is a Peer Specialist in Barstow, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

222 E Main St
Barstow, CA 92311-2361
Phone: (760) 255-1496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1770391104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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