Individual provider · Type 1 NPI

Jeremy Stephen Thacker

Clinical Psychologist · Studio City, CA

NPI number 1508661794 Active

Practice location

11712 Moorpark St Ste 204B
Studio City, CA 91604-2158

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSB94027985 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1508661794

Jeremy Stephen Thacker's National Provider Identifier is 1508661794, issued on Feb 13, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Studio City, CA. The record was last updated on Feb 13, 2025.