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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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