Moisan Thomas, Patricia C

Moisan Thomas, Patricia C is an individual health care provider with primary practice located at 2020 Union St Ste 101, Lafayette IN 47904-3432. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moisan Thomas, Patricia C can be contacted via phone (765) 449-8286.

Contact Information

Primary practice address
2020 Union St Ste 101 Lafayette IN 47904-3432
Phone: (765) 449-8286
Fax: (765) 449-0445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20040188A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040188A Indiana

Profile Details

NPI number 1275502189
LBN Legal business name Moisan Thomas, Patricia C
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275502189 NPPES
Indiana MEDICAID 100207030

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