Provider Demographics
NPI:1699883173
Name:THORP, STEVEN RUSSELL (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RUSSELL
Last Name:THORP
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Gender:M
Credentials:PHD
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Mailing Address - Street 1:7683 MISSION GORGE RD
Mailing Address - Street 2:UNIT #175
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-1367
Mailing Address - Country:US
Mailing Address - Phone:619-229-0065
Mailing Address - Fax:619-400-5171
Practice Address - Street 1:8810 RIO SAN DIEGO DR
Practice Address - Street 2:MAIL CODE 116A4Z
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1622
Practice Address - Country:US
Practice Address - Phone:619-400-5193
Practice Address - Fax:619-400-5171
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20206103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist