Nina Christine Hudspeth | Rancho Cucamonga, CA • PECOS Search

Nina Christine Hudspeth

Psychologist

Behavioral Health & Social Service Providers

10750 4th St Ste 150, Rancho Cucamonga, CA 91730-0979

(909) 276-8320 (310) 792-5454

PECOS Enrollment

Based on the most recent information from CMS, provider Nina Christine Hudspeth does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1962696039
Provider Type
Individual
Full Name
Hudspeth, Nina Christine
Credential
PSYD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/31/2007
Last Updated
9/29/2022

Contact Information

Practice Location

10750 4th St Ste 150, Rancho Cucamonga, CA 91730-0979

Unlisted Fax

Mailing Location

923 S Catalina Ave, Redondo Beach, CA 90277-4718

(310) 792-5463

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY24904 California