| Thomas C. Olona, Psychologist, Professional Corporation | |
|
100 N Brand Blvd Suite 603 Glendale CA 91203-2641 | |
| (818) 476-1007 | |
| Not Available |
| Full Name | Thomas C. Olona, Psychologist, Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 100 N Brand Blvd, Glendale, California |
| Authorized Official Name and Position | Thomas Christopher Olona (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8184760117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas C. Olona, Psychologist, Professional Corporation 100 N Brand Blvd Suite 603 Glendale CA 91203-2641 Ph: (818) 476-1007 | Thomas C. Olona, Psychologist, Professional Corporation 100 N Brand Blvd Suite 603 Glendale CA 91203-2641 Ph: (818) 476-1007 |
| NPI Number | 1871867614 |
|---|---|
| Provider Enumeration Date | 02/25/2012 |
| Last Update Date | 09/29/2017 |
| Medicare PECOS PAC ID | 4880846989 |
|---|---|
| Medicare Enrollment ID | O20121219000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871867614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY14944 (California) | Primary |
| Provider Name | Thomas C Olona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164516886 PECOS PAC ID: 3870745979 Enrollment ID: I20121219000390 |
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