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THERA MED LLC. NPI 1003388620


NPI Information

NPI: 1003388620
Provider Name: THERA MED LLC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
6500 W CENTRAL AVE # D-2
TOLEDO, OH
ZIP 43617
Phone: (419) 841-2298
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THERA MED LLC. is a clinical psychologist in Toledo, OH. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. THERA MED LLC. NPI is 1003388620. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6500 W CENTRAL AVE # D-2
TOLEDO, OH
ZIP 43617-031
Phone: (419) 841-2298
Fax: (419) 841-7245

The provider's authorized official is Bethany Joy Closs .
The authorized official title is Office Manager and has the following contact phone number (419) 841-2298.

The enumeration date for this NPI number is 12/20/2018 and was last updated on 12/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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