Ham, Tom L

Ham, Tom L is an sole proprietor health care provider with primary practice located at 515 Purdue Ave , Saint Louis MO 63130-4134. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Ham, Tom L can be contacted via phone (314) 518-8445.

Contact Information

Primary practice address
515 Purdue Ave Saint Louis MO 63130-4134
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 6301006996 Michigan
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301006996 Michigan

Profile Details

NPI number 1932339041
LBN Legal business name Ham, Tom L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2009
Last updated Jul 23rd, 2009 - about 16 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 1932339041 NPPES
Michigan Other 6301006996 DEPT OF COMMUNITY HEALTH: BOARD OF PSYCHOLOGY

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