Individual
MR. PETER THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
814 N MILL ST, UNIT 5, MCHENRY, IL 60050-5336
(815) 385-6004
(815) 385-6062
Mailing address
814 N MILL ST, UNIT 5, MCHENRY, IL 60050-5336
(815) 385-6004
(815) 385-6062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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