Doctor Name: | MR. DOUGLAS PAUL THOMAS |
NPI Number: | 1356327084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 292975-3501 |
Business Practice Address: | 100 S 1000 W Tooele, UT - 840744010 |
Business Phone Number: | 4358433520 |
Business Fax Number: | 4358433555 |
Mailing Address: | 100 S 1000 W, TOOELE |
State: | UT |
Postal Code: | 840744010 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 292975-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |