Individual
DR. GISELLE L. THOMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH,D.
Contact information
Practice address
4004 CAMPBELL ST, VALPARAISO, IN 46385-1773
(219) 476-0042
Mailing address
PO BOX 615, CHESTERTON, IN 46304-0615
(219) 476-0042
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040596A
IN
Other
Enumeration date
06/14/2006
Last updated
07/09/2007
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