Anthony Alan Thomalla in Porter - Group Psychotherapy

Anthony Alan Thomalla - NPI 1790887669

Anthony Alan Thomalla is a Group Psychotherapy in Porter, Indiana. Anthony Alan Thomalla practices all healthcare services and medical treatments related to Group Psychotherapy. 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 Group Psychotherapy
Taxonomy 103Tp2701X
Licence No 20040651A
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00396776 IN RAILROAD
100092720B IN --

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FAQs about Anthony Alan Thomalla

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 Group Psychotherapy, and the corresponding taxonomy code that categorizes this field of practice is 103Tp2701X.

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.

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