Doctor Name: | MR. RICHARD ANTHONY THOMSON |
NPI Number: | 1245236686 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LMSW, ACSW |
License Number: | 6801067243 |
Business Practice Address: | 660 W Center Rd Essexville, MI - 487322030 |
Business Phone Number: | 9895292627 |
Business Fax Number: | 9898956222 |
Mailing Address: | 990 W Ridge Rd, ESSEXVILLE |
State: | MI |
Postal Code: | 487328601 |
Phone Number: | 9895292627 |
Fax Number: | 9898956222 |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801067243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |