Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | ||
N | 103K00000X | Behavior Analyst | MI | |
N | 1041C0700X | Clinical Social Worker | MI | |
N | 1041S0200X | School Social Worker | ||
N | 226300000X | Kinesiotherapist |
NPI | 1780157347 |
---|---|
Provider Name | Mr. William Thomas |
First Address | Farmington Hills, MI 48336-2607 |
Second Address | Farmington Hills, MI 48336-2607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2019 |
Last Update Date | 07/01/2019 |