Provider Demographics
NPI:1659427540
Name:MCBRIDE, RHONDA LEE
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LEE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14075 HESPERIA RD STE 208
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-4500
Mailing Address - Country:US
Mailing Address - Phone:909-945-3330
Mailing Address - Fax:909-945-1031
Practice Address - Street 1:9327 FAIRWAY VIEW PL STE 110
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0969
Practice Address - Country:US
Practice Address - Phone:909-945-3330
Practice Address - Fax:909-945-1031
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32911106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist