| Ms Stacey Jo Mackaman, LMFT | |
|
225 Avenue I Ste 204, Redondo Beach, CA 90277-5608 | |
| (424) 903-6520 | |
| (424) 772-6993 |
| Full Name | Ms Stacey Jo Mackaman |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 225 Avenue I Ste 204, Redondo Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437801230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 146799 (California) | Primary |
| Entity Name | Q Psychology Group A Psychological Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649733866 PECOS PAC ID: 4284005935 Enrollment ID: O20230117002888 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stacey Jo Mackaman, LMFT 170 Ardmore Ave, Hermosa Beach, CA 90254-5229 Ph: (312) 758-2428 | Ms Stacey Jo Mackaman, LMFT 225 Avenue I Ste 204, Redondo Beach, CA 90277-5608 Ph: (424) 903-6520 |
Shawn Howard, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 Herondo St, Redondo Beach, CA 90277 Phone: 877-799-1985 | |
Jamie Coleman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 901 N Pacific Coast Hwy, Suite 200a, Redondo Beach, CA 90277 Phone: 310-316-1610 | |
Terri Lee Edwards, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 527 N Prospect Ave, Redondo Beach, CA 90277 Phone: 310-561-2559 | |
Mr. Jason Bernstein, LMFT #146933 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2309 190th St, Redondo Beach, CA 90278 Phone: 610-937-1758 | |
Ellen Suh, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1200 Aviation Blvd Ste 100, Redondo Beach, CA 90278 Phone: 310-376-2468 | |
Bruce Graham Smith, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 901 N Pacific Coast Hwy Ste 200a, Redondo Beach, CA 90277 Phone: 310-316-1610 Fax: 310-316-4209 | |
Kathi Keir-colli, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1611 S Pacific Coast Hwy Ste 204, Redondo Beach, CA 90277 Phone: 310-204-9750 |