| Doctor Name: | THOMAS PARRY DETERS |
| NPI Number: | 1356562920 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW,LCSWACSW |
| License Number: | 34001213A |
| Business Practice Address: | 450 Erie St Connersville, IN - 47331 |
| Business Phone Number: | 7658277890 |
| Business Fax Number: | |
| Mailing Address: | P.o.box 142, BROOKVILLE |
| State: | IN |
| Postal Code: | 470120142 |
| Phone Number: | 7622651118 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34001213A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |