| Nicholas S. Thaler Phd A Psychological Corporation | |
|
1526 14th St Ste 109 Santa Monica CA 90404-3320 | |
| (310) 570-5113 | |
| Not Available |
| Full Name | Nicholas S. Thaler Phd A Psychological Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1526 14th St Ste 109, Santa Monica, California |
| Authorized Official Name and Position | Nicholas Thaler (ORGANIZATION OFFICIAL) |
| Authorized Official Contact | 3105705113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas S. Thaler Phd A Psychological Corporation 2950 S Bentley Ave Apt 10 Los Angeles CA 90064-4072 Ph: (310) 570-5113 | Nicholas S. Thaler Phd A Psychological Corporation 1526 14th St Ste 109 Santa Monica CA 90404-3320 Ph: (310) 570-5113 |
| NPI Number | 1649807058 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649807058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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