Individual
DR. MICHAEL ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2184 CHANNING WAY # 119, IDAHO FALLS, ID 83404-8034
(208) 728-7750
Mailing address
2184 CHANNING WAY # 119, IDAHO FALLS, ID 83404-8034
(208) 728-7750
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2401
KS
103TC0700X
Clinical Psychologist
Primary
7471153
ID
Other
Enumeration date
04/12/2016
Last updated
05/06/2025
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