Individual
THOMAS A DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
301 TROY DR, MADISON, WI 53704-1521
(608) 301-1000
(608) 301-1432
Mailing address
301 TROY DR, MADISON, WI 53704-1521
(608) 301-1000
(608) 301-1432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3612-57
WI
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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