Organization
AMANDA MARIE ESPY FAMILY THERAPY, INC.
Active
Organization
AMANDA MARIE ESPY FAMILY THERAPY, INC.
Active
Other names
Field Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MARIE ESPY (PRESIDENT)
(424) 291-1249
Entity
Organization
Contact information
Practice address
827 4TH ST APT 408, SANTA MONICA, CA 90403-1277
(424) 291-1249
Mailing address
827 4TH ST APT 408, SANTA MONICA, CA 90403-1277
(424) 291-1249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760950109
NPI
CA
05
—
1760950109
—
CA
Enumeration date
01/27/2023
Last updated
08/04/2024
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