DR. Jack E. Thomas, PH.D.

NPI #1013107036 in Bloomington, Indiana

Provider Information

NPI Number
1013107036
Entity Type
Individual
Name
DR. Jack E. Thomas, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Jul 26, 2007
Last Updated
Jul 26, 2007

Practice Location

Address
2108 S LOCUST CT
State
Indiana
ZIP Code
47401-6751
Phone
(812) 325-6877

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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