Provider Demographics
NPI:1508997909
Name:RICH-THURM, TRISHA LEE (MA, MFT, PSYD)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:LEE
Last Name:RICH-THURM
Suffix:
Gender:F
Credentials:MA, MFT, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43713 20TH ST W
Mailing Address - Street 2:SUITE E
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4628
Mailing Address - Country:US
Mailing Address - Phone:661-430-6173
Mailing Address - Fax:
Practice Address - Street 1:43713 20TH ST W
Practice Address - Street 2:SUITE E
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4628
Practice Address - Country:US
Practice Address - Phone:661-430-6173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42603106H00000X
CA24976103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical