Individual
TERRY JACOB THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
33298 TRAFALGAR SQ APT 5, WESTLAND, MI 48186-4860
(313) 957-8478
Mailing address
33298 TRAFALGAR SQ APT 5, WESTLAND, MI 48186-4860
(313) 957-8478
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362010058
MI
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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