Organization
MACY PSYCHOLOGY, INC
Active
Other names
The Center for Behavior Change, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDY DIANE MACY PSY.D. (PRESIDENT AND CEO)
(619) 876-8261
Entity
Organization
Contact information
Practice address
7676 HAZARD CENTER DR STE 500, SAN DIEGO, CA 92108-4508
(619) 876-8261
Mailing address
7676 HAZARD CENTER DR STE 500, SAN DIEGO, CA 92108-4508
(619) 876-8261
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY 20536
CA
252Y00000X
Early Intervention Provider Agency
PSY 20536
CA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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