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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