Individual
MR. MICHAEL J THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 MAYFIELD CT, SAINT LOUIS, MO 63136-5016
(314) 867-9562
Mailing address
8901 MAYFIELD CT, ST LOUIS, MO 63136
(314) 867-9562
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/07/2008
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