Dudley, Tashanaye

Dudley, Tashanaye is an individual health care provider with primary practice located at 9500 Haven Ave Suite 100, Rancho Cucamonga CA 91730-5807. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dudley, Tashanaye can be contacted via phone (909) 980-6700.

Contact Information

Primary practice address
9500 Haven Ave Suite 100 Rancho Cucamonga CA 91730-5807
Phone: (909) 980-6700
Fax: (909) 980-6003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1235409533
LBN Legal business name Dudley, Tashanaye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Aug 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers