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Individual

THOMAS NATHAN TUMILTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1700 S LINCOLN AVE, MAIL CODE 650, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-5974
Mailing address
350 VINE ST, APT. I, LEBANON, PA 17042-6833
(717) 274-5425

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002263L
PA

Other

Enumeration date
08/14/2006
Last updated
07/08/2007
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