Individual
DR. TREG ALLEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4100 LAKE DR SE STE B01, GRAND RAPIDS, MI 49546-8292
(616) 267-7400
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016860
MI
Other
Enumeration date
10/06/2015
Last updated
03/03/2021
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