Individual
DR. THOMAS JEFFREY HEBEISEN
Active
Individual
DR. THOMAS JEFFREY HEBEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
Update your record
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