Thigpen, Gregory Rembert

Thigpen, Gregory Rembert is an sole proprietor health care provider with primary practice located at 920 Mendocino Ave , Santa Rosa CA 95401-4813. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Thigpen, Gregory Rembert can be contacted via phone (707) 494-6462.

Contact Information

Primary practice address
920 Mendocino Ave Santa Rosa CA 95401-4813
Phone: (707) 494-6462
Fax: (707) 539-3588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY19198 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY19198 California

Profile Details

NPI number 1841343811
LBN Legal business name Thigpen, Gregory Rembert
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841343811 NPPES
California Other 0PL191980 BLUE SHIELD
California MEDICAID PSY191980 BLUE SHIELD
California Other 355188 BLUE SHIELD

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