Individual
ASHLEY D. PRUEITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
954 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3782
(909) 946-4222
Mailing address
7014 7TH AVE, HESPERIA, CA 92345-4426
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY26650
CA
Other
Enumeration date
11/18/2009
Last updated
01/02/2018
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