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Individual

DR. GREGORY REMBERT THIGPEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
920 MENDOCINO AVE, SANTA ROSA, CA 95401-4813
(707) 494-6462
(707) 539-3588
Mailing address
PO BOX 2996, SANTA ROSA, CA 95405-0996
(707) 494-6462
(707) 539-3588

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY19198
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY19198
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PL191980
BLUE SHIELD
CA
01
355188
MANAGED HEALTH NETWORK
CA
05
PSY191980
CA
Enumeration date
01/20/2007
Last updated
09/11/2025
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