Individual
DR. THOMAS MARK LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3406
WI
103TC0700X
Clinical Psychologist
3406
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2012
Last updated
10/18/2017
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