Anthony Alan Thomalla in Porter - Forensic
Anthony Alan Thomalla - NPI 1790887669
Anthony Alan Thomalla is a Forensic in Porter, Indiana. Anthony Alan Thomalla practices all healthcare services and medical treatments related to Forensic. The NPI Number for Anthony Alan Thomalla is 1790887669. The last update date is 2008-11-13.
Anthony Alan Thomalla's current location address is 1420 Commodore Ln, Porter, Indiana. You can contact this provider via phone number 8005070515 and fax number 8005070515. The mailing address for Anthony Alan Thomalla is 1420 Commodore Ln, Porter, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Alan Thomalla |
|---|---|
| Address | 1420 Commodore Ln, Porter, Indiana |
| Phone Number | 8005070515 |
| Fax Number | 8005070515 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1790887669 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2008-11-13 |
Provider Mailing Address Detail
| Address | 1420 Commodore Ln |
|---|---|
| City | Porter |
| State | Indiana (IN) |
| Post Code | 463049571 |
| Phone Number | 8005070515 |
| Fax Number | 8005070515 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 20040651A |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00396776 | IN | RAILROAD | |
| 100092720B | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Anthony Alan Thomalla by the Centers for Medicare & Medicaid Services?
The Anthony Alan Thomalla has been assigned the NPI (National Provider Identifier) 1790887669 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Anthony Alan Thomalla?
The Anthony Alan Thomalla is physically situated at 1420 Commodore Ln, in the city of Porter, state of IN, with the postal code 463049571.
What is Anthony Alan Thomalla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Anthony Alan Thomalla's area of specialization is Forensic, and the corresponding taxonomy code that categorizes this field of practice is 103Tf0200X.
When did the Anthony Alan Thomalla receive its 1790887669?
The Anthony Alan Thomalla was issued its 1790887669 on 2006-09-02, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Anthony Alan Thomalla most recently updated or revised?
The details related to Anthony Alan Thomalla, including its address, specialty, and other relevant information, were last updated or revised on 2008-11-13.