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Contact Information

THOMAS J. CLUCAS, PHD, P.C.
125 BANK ST STE 310
MISSOULA, MT59802-4413
 Phone: 406-549-7325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THOMAS J. CLUCAS, PHD, P.C.

NPI Number 1801066345
LBN Legal business name THOMAS J. CLUCAS, PHD, P.C.
Authorized official THOMAS CLUCAS - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2008
Last updated 04/10/2008 - About 18 years ago
Identifiers
MT License # 186
MT Medicaid 1083763643
MT Other 51981 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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