| Andrew Rudd, | |
|
20786 Bear Valley Rd Ste I, Apple Valley, CA 92308-6909 | |
| (805) 285-2696 | |
| Not Available |
| Full Name | Andrew Rudd |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 20786 Bear Valley Rd Ste I, Apple Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417414749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 111910 (California) | Primary |
| Entity Name | Wonderfully Human Marriage And Family Therapy, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063274496 PECOS PAC ID: 4082053095 Enrollment ID: O20240423002259 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Rudd, 16040 Greyrock St, Victorville, CA 92395-8628 Ph: (909) 560-1934 | Andrew Rudd, 20786 Bear Valley Rd Ste I, Apple Valley, CA 92308-6909 Ph: (805) 285-2696 |
Angela Marie Rincon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12555 Navajo Rd, Apple Valley, CA 92308 Phone: 760-247-8001 | |
Mrs. Nancy Kay Hirst, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16195 Siskiyou Rd, Suite 120-a, Apple Valley, CA 92307 Phone: 760-946-2070 Fax: 760-946-1511 | |
Jean Voska, RNMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16195 Siskiyou Rd, Suite 120a, Apple Valley, CA 92307 Phone: 760-946-2070 Fax: 760-946-1511 | |
Mr. Bruce Gene Malcolm, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-255-1496 | |
Darlene Irene Belisle, MS,LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-6336 Fax: 760-242-5363 | |
Shelli Marie Flores, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-881-8025 | |
Sandra M Carlson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-217-6437 |