Individual
DR. THOMAS E. LABERTEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4670 FULTON ST E STE 101, ADA, MI 49301-8409
(616) 975-3160
(616) 975-3163
Mailing address
4670 FULTON ST E STE 101, ADA, MI 49301-8409
(616) 975-3160
(616) 975-3163
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301000979
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301000979
MI
103TC0700X
Clinical Psychologist
Primary
6301000979
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301000979
MI
Other
Enumeration date
04/09/2007
Last updated
04/03/2009
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