Doctor Name: | MR. THOMAS TUELLER |
NPI Number: | 1740321314 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCSW 859 |
Business Practice Address: | 558 G St Idaho Falls, ID - 834023458 |
Business Phone Number: | 2085247400 |
Business Fax Number: | 2085248004 |
Mailing Address: | 883 E 1300 N, SHELLEY |
State: | ID |
Postal Code: | 832745134 |
Phone Number: | 2085247400 |
Fax Number: | 2085248004 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCSW 859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |