MEDICARE: RESHAWNDA T. RICHARDSON LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT96643	CA

General Provider Information

NPI Number	:	1952554198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RESHAWNDA T. RICHARDSON LMFT

Provider Business Mailing Address
First Line	:	13337 SOUTH ST # 154
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-7308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 UTICA AVE STE 245
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-3852
Country	:	US
Telephone Number	:	909-989-4055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2008
Last Update Date	:	12/16/2025

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