Individual
DR. THOMAS J CLUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
125 BANK STREET, SUITE 310, MUSSOULA, MT 59802
(406) 549-7325
(406) 549-7559
Mailing address
125 BANK STREET, SUITE 310, MUSSOULA, MT 59802
(406) 549-7325
(406) 549-7559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MT186
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51981
BLUE CROSS BLUE SHIELD
MT
Enumeration date
01/10/2007
Last updated
04/10/2008
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