| Doctor Name: | MR. THOMAS GEORGE KRUPAR |
| NPI Number: | 1598944068 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 6301003024 |
| Business Practice Address: | 19366 Allen Rd Ste C Brownstown Twp, MI - 481836810 |
| Business Phone Number: | 7344790949 |
| Business Fax Number: | |
| Mailing Address: | 2024 Bancroft Dr, ANN ARBOR |
| State: | MI |
| Postal Code: | 481089307 |
| Phone Number: | 7347478427 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2007 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 6301003024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |