Organization
ANDREA MACE LICENSED EDUCATIONAL PSYCHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MACE (OWNER)
(510) 589-4950
Entity
Organization
Contact information
Practice address
13 CLIFF WALK DR, VALLEJO, CA 94591-6432
(510) 589-4950
Mailing address
164 ROBLES WAY # 376, VALLEJO, CA 94591-8039
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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