Cleary, Thomas J

Cleary, Thomas J is an individual health care provider with primary practice located at 1708 Dayton , Wichita Falls TX 76301-6110. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cleary, Thomas J can be contacted via phone (940) 500-4408.

Contact Information

Primary practice address
1708 Dayton Wichita Falls TX 76301-6110
Fax: (940) 386-1318
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S10023 Texas

Profile Details

NPI number 1952300162
LBN Legal business name Cleary, Thomas J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952300162 NPPES
Texas MEDICAID 108288504
Texas Other 00S85Q
Texas MEDICAID 108288502

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