Individual
MACKENZIE BECKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LEP, PPSP
Contact information
Practice address
17772 IRVINE BLVD STE 103, TUSTIN, CA 92780-3233
(949) 232-7645
Mailing address
1939 WALLACE AVE APT 109, COSTA MESA, CA 92627-3492
(949) 232-7645
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
260126195
CA
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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