Individual provider · Type 1 NPI

Tracy Scott Maccallum, LMT

Specialist · Riverside, CA

NPI number 1780709899 Active

Practice location

6926 Brockton Ave, #8
Riverside, CA 92506-3804

Call (951) 347-5179 Map

Fax (951) 779-9541

Mailing address

813 Navajo Dr
Riverside, CA 92507-6048

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X1462 (NM)
Specialist Primary 174400000XMT007176 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780709899

Tracy Scott Maccallum, LMT's National Provider Identifier is 1780709899, issued on Mar 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Riverside, CA. The record was last updated on Sep 11, 2025.