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NPI Code Detail

MEDICARE: JEREMY ERIC THULEMEYER LMFT

MEDICARE: JEREMY ERIC THULEMEYER LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist157327CA
2221700000XArt Therapist003223-01NY

General Provider Information

NPI Number : 1578245569
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY ERIC THULEMEYER LMFT
Provider Business Mailing Address
First Line : 1330 N GARDNER ST APT 101
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-4151
Country : US
Telephone Number : 714-392-0978
Fax Number :
Provider Business Practice Location Address
First Line : 1212 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-1769
Country : US
Telephone Number : 800-530-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 12/27/2025

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