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Contact Information

THOMAS J CLUCAS, PHD
125 BANK STREET
SUITE 310
MISSOULA, MT59802
 Phone: 406-549-7325
 Fax: 406-549-7559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THOMAS J CLUCAS · (Male)

NPI # 1083763643
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/10/2007
Last updated 04/10/2008 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MT License # MT186
  • MT Other 51981 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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