Individual
DR. THOMAS JOSEPH WALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Contact information
Practice address
715 CAMBRIDGE ST, YPSILANTI, MI 48197-2127
(734) 340-4043
Mailing address
715 CAMBRIDGE ST, YPSILANTI, MI 48197-2127
(734) 340-4043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301016487
MICHIGAN PSYCHOLOGY BOARD
MI
Enumeration date
05/07/2010
Last updated
05/15/2021
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