NPI 1013107036

Jack E. Thomas, PHD

Practitioner Clinical Psychologist Bloomington, IN

Practice location

Address: 2108 S Locust CT, Bloomington, IN 47401-6751
Phone: (812) 325-6877

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20010356A (IN)

Other Psychologist providers in Indiana →

Registry record

NPI: 1013107036
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2007
Record last updated: 26 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.