Wilkinson, Thomas Andrew

Wilkinson, Thomas Andrew is an sole proprietor health care provider with primary practice located at 831 Highway 150 S , Evanston WY 82930-5340. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wilkinson, Thomas Andrew can be contacted via phone (307) 789-3464.

Contact Information

Primary practice address
831 Highway 150 S Evanston WY 82930-5340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 303824-2501 Utah
Behavioral Health & Social Service Providers / Clinical 103TC0700X 574 Wyoming

Profile Details

NPI number 1891890117
LBN Legal business name Wilkinson, Thomas Andrew
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Aug 24th, 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 1891890117 NPPES
Missouri MEDICAID 497413401

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