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Organization
NICOLE THORN
Active
Organization
NICOLE THORN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE THORN PH.D. (LICENSED PSYCHOLOGIST)
(562) 257-6627
Entity
Organization
Contact information
Practice address
4647 LONG BEACH BLVD, STE A4, LONG BEACH, CA 90805-6975
(562) 257-6627
Mailing address
2722 JOSIE AVE, LONG BEACH, CA 90815-1512
(562) 257-6627
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26326
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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