Individual
THOMAS WALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD,HSPP
Contact information
Practice address
1481 W 10TH ST, C/O RICHARD ROUDEBUSH VA MEDICAL CENTER, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 554-0001
Mailing address
1481 W 10TH ST, C/O RICHARD ROUDEBUSH VA MEDICAL CENTER, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(317) 554-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041411
IN
Other
Enumeration date
07/10/2006
Last updated
02/03/2015
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