Provider Demographics
NPI:1982758462
Name:VANDE HEY, REBECCA RITA (LCSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:RITA
Last Name:VANDE HEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:R
Other - Last Name:VANDE HEY ESPARZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1745 W ORANGEWOOD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2041
Mailing Address - Country:US
Mailing Address - Phone:714-532-9399
Mailing Address - Fax:714-939-7720
Practice Address - Street 1:1745 W ORANGEWOOD SUITE 101
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2041
Practice Address - Country:US
Practice Address - Phone:714-532-9399
Practice Address - Fax:714-939-7720
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS12523103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist