Individual
LAURA THODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31720 TEMECULA PKWY STE 200, TEMECULA, CA 92592-5895
(833) 867-4642
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY34436
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/16/2014
Last updated
09/01/2023
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