Individual
DR. GLYNDA ANNETTE THUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
23123 VENTURA BLVD, 207, WOODLAND HILLS, CA 91364-1104
(818) 712-9886
(818) 712-9886
Mailing address
22108 LONDELIUS ST, WEST HILLS, CA 91304-1358
(818) 515-3993
(818) 712-9886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY148930
MEDI-CAL
CA
Enumeration date
11/08/2006
Last updated
07/08/2007
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