Kipp James Thorn in San Bernardino - Clinical

Kipp James Thorn - NPI 1740314574

Kipp James Thorn is a Clinical in San Bernardino, California. Kipp James Thorn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kipp James Thorn is 1740314574. The last update date is 2012-04-05.

Kipp James Thorn's current location address is 1950 S Sunwest Ln, San Bernardino, California. You can contact this provider via phone number 9095435854. The mailing address for Kipp James Thorn is 1950 S Sunwest Ln, San Bernardino, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kipp James Thorn
Address 1950 S Sunwest Ln, San Bernardino, California
Phone Number 9095435854
Fax Number
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1740314574
Provider Enumeration Date 2007-03-15
Last Updated Date 2012-04-05

Provider Mailing Address Detail

Address 1950 S Sunwest Ln
City San Bernardino
State California (CA)
Post Code 924080019
Phone Number 9095435854
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY17610
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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FAQs about Kipp James Thorn

What is the unique 10-digit identifier code issued to Kipp James Thorn by the Centers for Medicare & Medicaid Services?

The Kipp James Thorn has been assigned the NPI (National Provider Identifier) 1740314574 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Kipp James Thorn is geographically located?

The Kipp James Thorn is physically situated at the following location: 1950 S Sunwest Ln, San Bernardino, CA, 924080019.

What is Kipp James Thorn's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kipp James Thorn's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740314574 to Kipp James Thorn?

The Kipp James Thorn received its 1740314574 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.

As of what date was the information pertaining to Kipp James Thorn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kipp James Thorn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-05.

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