Waltz, Thomas Joseph
Waltz, Thomas Joseph is an sole proprietor health care provider with primary practice located at 715 Cambridge St , Ypsilanti MI 48197-2127. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Waltz, Thomas Joseph can be contacted via phone (734) 340-4043.Contact Information
Primary practice address
715 Cambridge St
Ypsilanti MI 48197-2127
Phone: (734) 340-4043
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301016487 | Michigan |
Profile Details
| NPI number | 1275851875 |
|---|---|
| LBN Legal business name | Waltz, Thomas Joseph |
| Credentials | PH.D., L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2010 |
| Last updated | May 15th, 2021 - about 4 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 | 1275851875 | NPPES |
| Michigan | Other | 6301016487 | MICHIGAN PSYCHOLOGY BOARD |
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