Jeremy Stephen Thacker
Jeremy Stephen Thacker is a Clinical Psychologist in Studio City, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
11712 Moorpark St Ste 204BStudio City, CA 91604-2158
Phone: (323) 834-2420
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Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSB94027985 (CA) |
|---|
Record details
| NPI number | 1508661794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 13, 2025 |
| Last updated in NPPES | February 13, 2025 |
| Certification date | February 13, 2025 |
| Mailing address | 11712 Moorpark St Ste 204b, Studio City, CA 91604-2158 |
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