Organization
COURAGE TO CHANGE, INC.
Active
Other names
Tracy R. Zemansky, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY R ZEMANSKY PH.D. (CLINICAL PSYCHOLOGIST)
(310) 664-0454
Entity
Organization
Contact information
Practice address
3231 OCEAN PARK BLVD, SUITE 201, SANTA MONICA, CA 90405-3221
(310) 664-0454
(310) 559-8743
Mailing address
3231 OCEAN PARK BLVD, SUITE 201, SANTA MONICA, CA 90405-3221
(310) 664-0454
(310) 559-8743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21760
CA
251S00000X
Community/Behavioral Health Agency
MFC31536
CA
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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