Individual
MS. ANDREA THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
PO BOX 5059, MONROVIA, CA 91017
(626) 775-3200
(626) 775-3271
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY191350
—
CA
Enumeration date
10/27/2006
Last updated
08/01/2011
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