SearchCalifornia101YA0400X

Thomas Church, CADDE-CATC INTERN

NPI 1770600686 · on the registry since 2007

Practice

Address
1125 Business Center Cir
Suite B
Thousand Oaks, CA 91320
Phone
(805) 375-9100
Fax
(805) 375-9920
Organisation at this address
Intervention Institute
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California