| The Thaddeus Foundation | |
|
133 E Bonita Ave Suite 200 San Dimas CA 91773-3173 | |
| (909) 599-2111 | |
| Not Available |
| Full Name | The Thaddeus Foundation |
|---|---|
| Speciality | Social Worker |
| Location | 133 E Bonita Ave, San Dimas, California |
| Authorized Official Name and Position | Kimmie Umscheid (PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9095992111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Thaddeus Foundation 133 E Bonita Ave Suite 200 San Dimas CA 91773-3173 Ph: (909) 599-2111 | The Thaddeus Foundation 133 E Bonita Ave Suite 200 San Dimas CA 91773-3173 Ph: (909) 599-2111 |
| NPI Number | 1922491893 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 04/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922491893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | D0756713TF5 (California) | Secondary |
| 104100000X | Social Worker | D0756713TF5 (California) | Primary |
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