Doctor Name: | MS. PATRCIA ALICE THORNTON |
NPI Number: | 1043361751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA |
License Number: | |
Business Practice Address: | 14360 Saint Andrews Dr Suite 11 Victorville, CA - 923954341 |
Business Phone Number: | 7602454695 |
Business Fax Number: | |
Mailing Address: | 15058 Bonanza Rd, VICTORVILLE |
State: | CA |
Postal Code: | 923922515 |
Phone Number: | 7607806976 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |