| NPI | 1265706451 |
|---|---|
| Former Legal Business Name | TRACY R. ZEMANSKY, PH.D. |
| Entity Type | Organization |
| Authorized Contact | TRACY R ZEMANSKY Clinical Psychologist 310-664-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21760) |
| Additional Taxonomies | 251S00000X (Licence: CA MFC31536) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |