Organization
RICK D. THOMAS, PH.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK D. THOMAS PH.D. (LICENSED PSYCHOLOGIST)
(816) 331-0374
Entity
Organization
Contact information
Practice address
409 N SCOTT AVE, BELTON, MO 64012-2035
(816) 331-0374
(816) 331-1070
Mailing address
409 N SCOTT AVE, BELTON, MO 64012-2035
(816) 331-0374
(816) 331-1070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0411
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
MO
01
—
149052
VALUE OPTIONS PROVIDER #
MO
01
—
2018341
CIGNA PROVIDER NUMBER
MO
01
—
25723021
INDIVIDUAL PROVIDER NUMBE
MO
01
—
37107016
BCBS GROUP PROVIDER NUMBE
MO
01
—
6166639
UNITED BEHAVIORAL HEALTH
MO
01
—
R0411
MO STATE LICENSE #
MO
Enumeration date
10/07/2006
Last updated
08/22/2020
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