Individual
MACY BOWLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 S COAST DR STE 255, COSTA MESA, CA 92626-7823
(949) 743-1457
Mailing address
74 CROCUS ST, REDLANDS, CA 92373-4219
(909) 586-5695
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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