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Individual

LORI P MONTROSS THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9500 GILMAN DR DEPT 664, UNIVERSITY OF CALIFORNIA SAN DIEGO, LA JOLLA, CA 92093-0664
(619) 206-9962
Mailing address
9500 GILMAN DR DEPT 664, UNIVERSITY OF CALIFORNIA SAN DIEGO, LA JOLLA, CA 92093-0664
(619) 206-9962

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSB36789
CA
103TC1900X
Counseling Psychologist
Primary
PSY25412
CA

Other

Enumeration date
06/13/2012
Last updated
01/14/2014
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