Doctor Name: | THOMAS MCBRIDE |
NPI Number: | 1023006186 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 35S100323700 |
Business Practice Address: | 240 Central Ave East Orange, NJ - 070183313 |
Business Phone Number: | 9734144701 |
Business Fax Number: | |
Mailing Address: | 4716 Old Gettysburg Rd, Legal Department MECHANICSBURG |
State: | PA |
Postal Code: | 170554325 |
Phone Number: | 7179721139 |
Fax Number: | 7179759981 |
NPI Enumeration Date: | 10/12/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 35S100323700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |