Dr. Thomas Walter Fera, Ph.D.
Psychologist, Forensic in Van Nuys, CA. Individual provider (NPI-1).
NPI number1497873095
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497873095
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Walter Fera
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TF0200X | Psychologist, Forensic | PSY8524 | CA | Yes |
Practice location
6740 Vesper AveSuite 203
Van Nuys, CA 91405-4612
Phone 818-780-9078 · Fax 818-780-8457
Mailing address
6740 Vesper AveSuite 203
Van Nuys, CA 91405-4612
Phone 818-780-9078 · Fax 818-780-8457
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