Individual
DR. ELLEN DELANY THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
760 WESTWOOD PLZ # C8-749, LOS ANGELES, CA 90095-2048
(310) 206-8100
(310) 206-8525
Mailing address
760 WESTWOOD PLZ # C8-749, LOS ANGELES, CA 90095-2048
(310) 206-8100
(310) 206-8525
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY 17773
CA
103TC0700X
Clinical Psychologist
Primary
PSY17773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY177730
—
CA
Enumeration date
07/02/2008
Last updated
01/15/2020
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