Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY13949 | CA |
N | 103T00000X | Psychologist | PSY13949 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY13949 | CA |
N | 103G00000X | Clinical Psychologist | PSY13949 | CA |
N | 103TC0700X | Clinical Psychologist | PSY13949 | CA |
N | 103TC1900X | Counseling Psychologist | PSY13949 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY13949 | CA |
N | 103TM1800X | Intellectual & Developmental Disabilities | PSY13949 | CA |
NPI | 1134294465 |
---|---|
Provider Name | Dr. Veronica Thomas |
First Address | Woodland Hills, CA 91364-6269 |
Second Address | Woodland Hills, CA 91364-6269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |