Mastandrea, Traci Critton
Mastandrea, Traci Critton is an sole proprietor health care provider with primary practice located at 205 Avenue I Ste 19 , Redondo Beach CA 90277-5619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Mastandrea, Traci Critton can be contacted via phone (310) 980-7162.Contact Information
Primary practice address
205 Avenue I Ste 19
Redondo Beach CA 90277-5619
Phone: (310) 980-7162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1831234277 |
|---|---|
| LBN Legal business name | Mastandrea, Traci Critton |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Feb 9th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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