Individual
THOMAS P CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 WING ST, LISBON, ME 04252-1444
(716) 263-8689
Mailing address
50 WING ST, LISBON, ME 04252-1444
(716) 263-8689
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
027715
NY
Other
Enumeration date
11/18/2025
Last updated
11/26/2025
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