Individual
THOMAS GOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
261 MACK AVE, SUITE 555, DETROIT, MI 48201-2417
(313) 745-9763
(313) 745-9854
Mailing address
261 MACK AVE, SUITE 555, DETROIT, MI 48201-2417
(313) 745-9763
(313) 745-9854
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005168
MI
103TC0700X
Clinical Psychologist
6301005168
MI
Other
Enumeration date
06/06/2006
Last updated
10/26/2015
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