Provider Demographics
NPI:1275735961
Name:THAU, HELAINE MEREDITH (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELAINE
Middle Name:MEREDITH
Last Name:THAU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3148 BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1302
Mailing Address - Country:US
Mailing Address - Phone:310-927-7206
Mailing Address - Fax:208-439-1055
Practice Address - Street 1:3148 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-1302
Practice Address - Country:US
Practice Address - Phone:310-927-7206
Practice Address - Fax:208-439-1055
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16965103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist