Mr. Thomas Lee Millard
Clinical Psychologist
1523 S Bluff Blvd
Clinton
, Iowa 52732-6549
Mr. Thomas Lee Millard
Clinical Psychologist
1523 S Bluff Blvd
Clinton
, Iowa 52732-6549
(563) 243-6054
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Mr. Thomas Lee Millard
- 1523 S Bluff Blvd
- Clinton, IA
- Zip : 52732-6549
- Phone : (563) 243-6054
Second Address
- Mr. Thomas Lee Millard
- 1523 S Bluff Blvd
- Clinton, IA
- Zip : 52732-6549
- Phone : (563) 243-6054
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | IA | |
| Y | 103TC0700X | Clinical Psychologist | IA |
National Provider Identifier
| NPI | 1003929274 |
|---|---|
| Provider Name | Mr. Thomas Lee Millard |
| First Address | Clinton, IA 52732-6549 |
| Second Address | Clinton, IA 52732-6549 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 23379 | BLUE CROSS BLUE SHIELD (01) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.