Doctor Name: | MR. BRUCE E THOMAS |
NPI Number: | 1295798106 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SPEECH PATHOLOGY |
License Number: | 10649 |
Business Practice Address: | Box 9095 Fpo, AP - 96538 |
Business Phone Number: | 6713449679 |
Business Fax Number: | 6713449305 |
Mailing Address: | Po Box 9095, FPO |
State: | AP |
Postal Code: | 96538 |
Phone Number: | 6713449679 |
Fax Number: | 6713449305 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |