Doctor Name: | DR. THOMAS DAVID ONORATO |
NPI Number: | 1871661488 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY11518 |
Business Practice Address: | 4560 Admiralty Way Ste. 353 Marina Del Rey, CA - 902925423 |
Business Phone Number: | 3103389002 |
Business Fax Number: | 3106420856 |
Mailing Address: | 4560 Admiralty Way, Ste. 353 MARINA DEL REY |
State: | CA |
Postal Code: | 902925423 |
Phone Number: | 3103389002 |
Fax Number: | 3106420856 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSY11518 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |