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NPI Code Detail

MEDICARE: PETER H THOMAS PH.D.

MEDICARE:   PETER H THOMAS  PH.D.
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 PsychologistPS002507LPA

General Provider Information

NPI Number : 1265427363
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER H THOMAS PH.D.
Provider Business Mailing Address
First Line : 938 PENN AVE
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-3017
Country : US
Telephone Number : 610-372-0466
Fax Number : 610-372-9142
Provider Business Practice Location Address
First Line : 938 PENN AVENUE
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-3017
Country : US
Telephone Number : 610-372-0466
Fax Number : 610-372-9142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 10/22/2011

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