Thomas, Duane Edward

Thomas, Duane Edward is an sole proprietor health care provider with primary practice located at 405 Frederick Road Suite 158, Catonsville MD 21228-4633. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Thomas, Duane Edward can be contacted via phone (410) 747-1265.

Contact Information

Primary practice address
405 Frederick Road Suite 158 Catonsville MD 21228-4633
Phone: (410) 747-1265
Fax: (410) 744-7981
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 05557 Maryland
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 05557 Maryland

Profile Details

NPI number 1508298423
LBN Legal business name Thomas, Duane Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2013
Last updated Oct 4th, 2016 - about 9 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 1508298423 NPPES
Maryland MEDICAID 100155800

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