Thomalla, Anthony Alan

Thomalla, Anthony Alan is an sole proprietor health care provider with primary practice located at 1915 S G St Ste 2, Richmond IN 47374-6511. He recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Thomalla, Anthony Alan can be contacted via phone (307) 349-6080.

Contact Information

Primary practice address
1915 S G St Ste 2 Richmond IN 47374-6511
Phone: (307) 349-6080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 20040651A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040651A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20040651A Indiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20040651A Indiana
Behavioral Health & Social Service Providers / Forensic 103TF0200X 20040651A Indiana
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20040651A Indiana
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 20040651A Indiana
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 20040651A Indiana
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 20040651A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20040651A Indiana

Profile Details

NPI number 1790887669
LBN Legal business name Thomalla, Anthony Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Apr 19th, 2024 - about last year

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 1790887669 NPPES
Indiana Other P00396776 RAILROAD
Indiana MEDICAID 100092720B RAILROAD

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