Provider Demographics
NPI:1184925448
Name:LADONNA LTD
Entity type:Organization
Organization Name:LADONNA LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CLINICAL PSYCHOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:LADONNA
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:408-802-6391
Mailing Address - Street 1:900 E HAMILTON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0664
Mailing Address - Country:US
Mailing Address - Phone:408-802-6391
Mailing Address - Fax:408-879-7205
Practice Address - Street 1:900 E HAMILTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0664
Practice Address - Country:US
Practice Address - Phone:408-802-6391
Practice Address - Fax:408-879-7205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23594251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health