Individual
THOMAS MANCHESTER GLENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12725 VENTURA BLVD, SUITE K, STUDIO CITY, CA 91604-2437
(818) 763-2745
(818) 763-6876
Mailing address
12725 VENTURA BLVD, SUITE K, STUDIO CITY, CA 91604-2437
(818) 763-2745
(818) 763-6876
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY10326
CA
103TC0700X
Clinical Psychologist
PSY10326
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY10326
CA
Other
Enumeration date
08/22/2006
Last updated
09/11/2025
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