Provider Demographics
NPI:1750116323
Name:HASTINGS, CHRISTEN ASHLEIGH
Entity type:Individual
Prefix:MRS
First Name:CHRISTEN
Middle Name:ASHLEIGH
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:ASHLEIGH
Other - Last Name:HULSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 S D ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-1721
Mailing Address - Country:US
Mailing Address - Phone:559-592-2141
Mailing Address - Fax:
Practice Address - Street 1:333 S D ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:CA
Practice Address - Zip Code:93221-1721
Practice Address - Country:US
Practice Address - Phone:559-592-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool