Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PSY7216 | CA |
N | 103TC0700X | Clinical Psychologist | PSY7216 | CA |
NPI | 1013072560 |
---|---|
Provider Name | Dr. Thomas Paul Hollander |
First Address | Del Mar, CA 92014-2504 |
Second Address | Del Mar, CA 92014-2504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R30626 | (02) | CA |