Glennon, Thomas Manchester

Glennon, Thomas Manchester is an sole proprietor health care provider with primary practice located at 12725 Ventura Blvd Suite K, Studio City CA 91604-2437. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Glennon, Thomas Manchester can be contacted via phone (818) 763-2745.

Contact Information

Primary practice address
12725 Ventura Blvd Suite K Studio City CA 91604-2437
Phone: (818) 763-2745
Fax: (818) 763-6876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10326 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY10326 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY10326 California

Profile Details

NPI number 1508972522
LBN Legal business name Glennon, Thomas Manchester
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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