Mccall-Martin, Stacy Andrea

Mccall-Martin, Stacy Andrea is an individual health care provider with primary practice located at 12501 Imperial Hwy Ste 400 , Norwalk CA 90650-1419. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Mccall-Martin, Stacy Andrea can be contacted via phone (562) 807-6143.

Contact Information

Primary practice address
12501 Imperial Hwy Ste 400 Norwalk CA 90650-1419
Phone: (562) 807-6143
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 53584 California

Profile Details

NPI number 1205964814
LBN Legal business name Mccall-Martin, Stacy Andrea
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jan 6th, 2020 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205964814 NPPES
California MEDICAID 7068
California MEDICAID 7420

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