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NPI Code Detail

MEDICARE: TOMAS PSYCHOLOGICAL SERVICES, INC

MEDICARE: TOMAS PSYCHOLOGICAL SERVICES, INC
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
1103TC0700XClinical Psychologist6304OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1552120OTHERPAVALUE TIONS/HEALTH AMER
2000000331274OTHERPAANTHEM
3PC001710OTHERPAPROFESSIONAL COUNSELOR
41418538OTHERPAKEYSTONE WESTERN PA
56304OTHEROHLICENSED PSYCHOLOGIST
660054OTHERPAAETNA, PA,OH

General Provider Information

NPI Number : 1144259037
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOMAS PSYCHOLOGICAL SERVICES, INC
Provider Business Mailing Address
First Line : 730 N MAIN ST
Second Line :
City : HUBBARD
State : OH
Zip : 44425-1126
Country : US
Telephone Number : 724-699-2682
Fax Number :
Provider Business Practice Location Address
First Line : 730 N MAIN ST
Second Line :
City : HUBBARD
State : OH
Zip : 44425-1126
Country : US
Telephone Number : 724-699-2682
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST
Name : DR. PAULETTE ANN TOMASOVICH
Credential : PH.D.
Telephone Number : 724-699-2682
Provider Enumeration Date : 07/02/2006
Last Update Date : 11/28/2023

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Directions to “TOMAS PSYCHOLOGICAL SERVICES, INC ” Practice Location

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