Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY STEPHEN THACKER
Active Sole ProprietorJEREMY STEPHEN THACKER is a Clinical Psychologist healthcare provider located in STUDIO CITY, California. NPI 1508661794 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · STUDIO CITY, CA
Registration Details
- NPI Number
- 1508661794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2025 (1.3150015774221 yrs)
- Last Updated
- Feb 13, 2025
- License
-
PSB94027985 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11712 MOORPARK ST STE 204BSTUDIO CITY, CA, 916042158Browse CA providers · Browse ZIP 91604
- Phone
- 3238342420
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in STUDIO CITY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOANNE H. KAY | PH.D. | 1083657175 |
| DR. ALFREDO E CRESPO | PHD | 1841207495 |
| DR. PAMELA NICELY | PH.D. | 1760586051 |
| DR. MARY M. FOX | PH.D. | 1003913732 |
| DR. ROBERT W. MOFFIE | PH.D. | 1609900125 |
| DR. BARRY DANIEL COHEN | PH.D. | 1053445304 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.