Healthcare Provider Details

I. General information

NPI: 1508997909
Provider Name (Legal Business Name): TRISHA LEE RICH-THURM MA, MFT, PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43713 20TH ST W SUITE E
LANCASTER CA
93534-4628
US

IV. Provider business mailing address

43713 20TH ST W SUITE E
LANCASTER CA
93534-4628
US

V. Phone/Fax

Practice location:
  • Phone: 661-430-6173
  • Fax:
Mailing address:
  • Phone: 661-430-6173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC42603
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number24976
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: