Provider Information for 1649627431
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. BERTEE THOMAS Jr. Psy. D,
Sex: Male
NPI: 1649627431
Last Updated: 2016-05-21
Certification Date:
Certification Date:
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1649627431 | ||||||||
Enumeration Date | 2016-05-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 774 EAYRESTOWN RD LUMBERTON, NJ 08048-3100 United States Phone: 609-668-4719 | Fax: | ||||||||
Primary Practice Address | 774 EAYRESTOWN RD LUMBERTON, NJ 08048-3100 United States Phone: 609-668-4719 | Fax: | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|