Individual
DR. EARL CLARE THORNDYKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064
(310) 273-4843
(310) 273-5056
Mailing address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064-5814
(310) 273-4843
(310) 273-5056
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY29166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894039
—
CA
Enumeration date
06/15/2017
Last updated
05/31/2018
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