| Courage To Change, Inc. | |
|
3331 Ocean Park Blvd Suite 100 Santa Monica CA 90405-3216 | |
| (310) 664-0454 | |
| (310) 553-8743 |
| Full Name | Courage To Change, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3331 Ocean Park Blvd, Santa Monica, California |
| Authorized Official Name and Position | Tracy R Zemansky (CLINICAL PSYCHOLOGIST, PRINCIPAL) |
| Authorized Official Contact | 3106640454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage To Change, Inc. 3331 Ocean Park Blvd Suite 100 Santa Monica CA 90405-3216 Ph: (310) 664-0454 | Courage To Change, Inc. 3331 Ocean Park Blvd Suite 100 Santa Monica CA 90405-3216 Ph: (310) 664-0454 |
| NPI Number | 1952575631 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952575631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY21760 (California) | Primary |
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