Individual
DR. ANTHONY ALAN THOMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1915 S G ST, STE 2, RICHMOND, IN 47374-6511
(307) 349-6080
Mailing address
1915 S G ST, STE 2, RICHMOND, IN 47374-6511
(765) 960-0942
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040651A
IN
103T00000X
Psychologist
LP5573
MN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
20040651A
IN
103TC0700X
Clinical Psychologist
20040651A
IN
103TC1900X
Counseling Psychologist
20040651A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20040651A
IN
103TF0200X
Forensic Psychologist
20040651A
IN
103TH0100X
Health Service Psychologist
20040651A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
20040651A
IN
103TP2701X
Group Psychotherapy Psychologist
20040651A
IN
103TR0400X
Rehabilitation Psychologist
20040651A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092720B
—
IN
01
—
P00396776
RAILROAD
IN
Enumeration date
09/02/2006
Last updated
07/01/2025
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