Doctor Name: | DR. THOMAS CHARLES HIMLER |
NPI Number: | 1003957994 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 274 |
Business Practice Address: | 1100 S Cliff Ave Sioux Falls, SD - 571051025 |
Business Phone Number: | 6053323706 |
Business Fax Number: | |
Mailing Address: | 46158 286th St, DAVIS |
State: | SD |
Postal Code: | 570216518 |
Phone Number: | 6052385129 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 274 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |