Individual
DR. THOMAS JEFFREY HEBEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
208 SKYCREST DR, LANDENBERG, PA 19350-9658
(610) 274-0641
(610) 274-0351
Mailing address
208 SKYCREST DR, LANDENBERG, PA 19350-9658
(610) 274-0641
(610) 274-0351
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
B1-0000192
DE
103TC0700X
Clinical Psychologist
Primary
PS004192L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00351324
CAQH
PA
01
—
112546
VALUE OPTIONS
PA
01
—
2052606
CIGNA
PA
01
—
V686S
EMPIRE
PA
Enumeration date
01/20/2007
Last updated
07/08/2007
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