ANTHONY THOMALLA, PH.D.

Psychologist · RICHMOND, IN

Individual Active NPI 1790887669

Taxonomy & licensure

Specialty	Code	Primary	License	State
Psychologist	103T00000X	✓	20040651A	IN
Psychologist	103T00000X		LP5573	MN
Addiction (Substance Use Disorder) Psychologist	103TA0400X		20040651A	IN
Clinical Psychologist	103TC0700X		20040651A	IN
Counseling Psychologist	103TC1900X		20040651A	IN
Clinical Child & Adolescent Psychologist	103TC2200X		20040651A	IN
Forensic Psychologist	103TF0200X		20040651A	IN
Health Service Psychologist	103TH0100X		20040651A	IN
Intellectual & Developmental Disabilities Psychologist	103TM1800X		20040651A	IN
Group Psychotherapy Psychologist	103TP2701X		20040651A	IN
Rehabilitation Psychologist	103TR0400X		20040651A	IN

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.