Individual
THOMAS C FUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
(931) 920-7202
Mailing address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
(931) 920-7202
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020
TRI-CARE PRIME
—
Enumeration date
06/21/2021
Last updated
06/21/2021
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