Provider Demographics
NPI:1992913867
Name:THOMPSON, ELHAM RAMTIN (PSYD)
Entity type:Individual
Prefix:
First Name:ELHAM
Middle Name:RAMTIN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ELHAM
Other - Middle Name:
Other - Last Name:RAMTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 5373
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-5373
Mailing Address - Country:US
Mailing Address - Phone:949-354-3550
Mailing Address - Fax:
Practice Address - Street 1:12843 LANDALE ST
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1352
Practice Address - Country:US
Practice Address - Phone:949-354-3550
Practice Address - Fax:949-281-1199
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28884103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist