Thomas J Clucas in Mussoula - Psychologist

Thomas J Clucas - NPI 1083763643

Thomas J Clucas is a Psychologist in Mussoula, Montana. Thomas J Clucas practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Thomas J Clucas is 1083763643. The last update date is 2008-04-10.

Thomas J Clucas's current location address is 125 Bank Street, Mussoula, Montana. You can contact this provider via phone number 4065497325 and fax number 4065497559. The mailing address for Thomas J Clucas is 125 Bank Street, Mussoula, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas J Clucas
Address 125 Bank Street, Mussoula, Montana
Phone Number 4065497325
Fax Number 4065497559
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1083763643
Provider Enumeration Date 2007-01-10
Last Updated Date 2008-04-10

Provider Mailing Address Detail

Address 125 Bank Street
City Mussoula
State Montana (MT)
Post Code 59802
Phone Number 4065497325
Fax Number 4065497559

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No MT186
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51981 MT BLUE CROSS BLUE SHIELD

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FAQs about Thomas J Clucas

What is the unique identification code assigned to Thomas J Clucas by the Centers for Medicare & Medicaid Services?

The Thomas J Clucas has been issued the NPI (National Provider Identifier) 1083763643. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Thomas J Clucas is physically located?

The Thomas J Clucas is physically situated at the following address: 125 Bank Street, Mussoula, MT, 59802.

What is Thomas J Clucas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Thomas J Clucas is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

When did Thomas J Clucas receive its 1083763643 assignment?

The Thomas J Clucas was assigned its 1083763643 on 2007-01-10, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Thomas J Clucas most recently updated or revised?

The details related to Thomas J Clucas, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-10.

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