Thomas Jonathan Malcolm in Glendora - Clinical
Thomas Jonathan Malcolm - NPI 1528083953
Thomas Jonathan Malcolm is a Clinical in Glendora, California. Thomas Jonathan Malcolm practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Jonathan Malcolm is 1528083953. The last update date is 2009-01-14.
Thomas Jonathan Malcolm's current location address is 112 W Bennett Ave, Glendora, California. You can contact this provider via phone number 6263352466 and fax number 6263359686. The mailing address for Thomas Jonathan Malcolm is 112 W Bennett Ave, Glendora, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Jonathan Malcolm |
|---|---|
| Address | 112 W Bennett Ave, Glendora, California |
| Phone Number | 6263352466 |
| Fax Number | 6263359686 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1528083953 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2009-01-14 |
Provider Mailing Address Detail
| Address | 112 W Bennett Ave |
|---|---|
| City | Glendora |
| State | California (CA) |
| Post Code | 917412568 |
| Phone Number | 6263352466 |
| Fax Number | 6263359686 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY4156 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00PL41560 | CA | -- |
Post Comment/ Review Below
What is the Thomas Jonathan Malcolm's 1528083953?
The Thomas Jonathan Malcolm's NPI (National Provider Identifier) Number is 1528083953. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Thomas Jonathan Malcolm is located?
The Thomas Jonathan Malcolm is situated at the following address: 112 W Bennett Ave, Glendora, CA, 917412568.
What is Thomas Jonathan Malcolm's area of expertise and its corresponding taxonomy classification?
The Thomas Jonathan Malcolm's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Thomas Jonathan Malcolm receive its 1528083953 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Jonathan Malcolm was assigned its 1528083953 on 2006-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Thomas Jonathan Malcolm last refreshed?
The information related to the Thomas Jonathan Malcolm, including its address, specialty, and other relevant details, was last updated on 2009-01-14.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA