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COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION NPI 1952575631


NPI Information

NPI: 1952575631
Provider Name: COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION

Other Name: COURAGE TO CHANGE, INC.

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
3331 OCEAN PARK BLVD
SUITE 100
SANTA MONICA, CA
ZIP 90405
Phone: (310) 664-0454
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COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION is a clinical psychologist in Santa Monica, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION NPI is 1952575631. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Courage To Change, Inc..

The provider's business location address is:

3331 OCEAN PARK BLVD
SUITE 100
SANTA MONICA, CA
ZIP 90405-216
Phone: (310) 664-0454
Fax: (310) 553-8743

The provider's authorized official is Tracy R Zemansky .
The authorized official title is Clinical Psychologist, Principal and has the following contact phone number (310) 664-0454.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 4/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY21760CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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