Individual
THOMAS MCBRIDE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
240 CENTRAL AVE, EAST ORANGE, NJ 07018-3313
(973) 414-4701
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35S100323700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056740
—
NJ
Enumeration date
10/12/2005
Last updated
07/08/2007
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