Mcbride, Thomas

Mcbride, Thomas is an individual health care provider with primary practice located at 240 Central Ave , East Orange NJ 07018-3313. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Mcbride, Thomas can be contacted via phone (973) 414-4701.

Contact Information

Primary practice address
240 Central Ave East Orange NJ 07018-3313
Phone: (973) 414-4701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 35S100323700 New Jersey

Profile Details

NPI number 1023006186
LBN Legal business name Mcbride, Thomas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1023006186 NPPES
New Jersey MEDICAID 0056740

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