Thomas, Andrew Todd

Thomas, Andrew Todd is an sole proprietor health care provider with primary practice located at 183 Inwood Ave , Montclair NJ 07043-1908. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Thomas, Andrew Todd can be contacted via phone (973) 783-6977.

Contact Information

Primary practice address
183 Inwood Ave Montclair NJ 07043-1908
Phone: (973) 783-6977
Fax: (973) 783-6597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SI03635 New Jersey

Profile Details

NPI number 1972658409
LBN Legal business name Thomas, Andrew Todd
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 18 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 1972658409 NPPES
New Jersey MEDICAID 7821409

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