Individual
DR. THOMAS CRISWELL MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2710 NORTH DODGE ST., STE #1, IOWA CITY, IA 52245
(319) 400-1311
(319) 575-6025
Mailing address
2710 NORTH DODGE ST., STE #1, IOWA CITY, IA 52245
(319) 400-1311
(319) 575-6025
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
094424
IA
Other
Enumeration date
05/26/2019
Last updated
02/10/2021
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