Provider Demographics
NPI:1275659591
Name:RUSHING, STANLEY DAVID (LMFT)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:DAVID
Last Name:RUSHING
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 E COLORADO BLVD STE 329
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2059
Mailing Address - Country:US
Mailing Address - Phone:626-794-8532
Mailing Address - Fax:626-794-8532
Practice Address - Street 1:595 E. COLORADO BLVD
Practice Address - Street 2:SUITE 329
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101
Practice Address - Country:US
Practice Address - Phone:626-794-8532
Practice Address - Fax:866-782-5094
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33618106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist