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
Phone: (314) 518-8445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932339041 | NPPES |
| Michigan | Other | 6301006996 | DEPT OF COMMUNITY HEALTH: BOARD OF PSYCHOLOGY |
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