Provider Demographics
NPI:1699794388
Name:DELANEY, THOMAS PAUL (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PAUL
Last Name:DELANEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1173 N DIXIE DR
Mailing Address - Street 2:STE. 101
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-1200
Mailing Address - Country:US
Mailing Address - Phone:626-231-7500
Mailing Address - Fax:909-447-0522
Practice Address - Street 1:1173 N DIXIE DR
Practice Address - Street 2:STE. 101
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-1200
Practice Address - Country:US
Practice Address - Phone:626-231-7500
Practice Address - Fax:909-447-0522
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY166000OtherMEDI-CAL
CACP16600AOtherMEDICARE PTAN S.CA
CACA230030OtherMEDICARE PTAN N.CA