NPI 1609933126 · live from the CMS NPI Registry
Thom Daniel Balmer, Ph.D.
Marriage & Family Therapist in Ada, OK. National Provider Identifier 1609933126, active.
NPI record
| NPI | 1609933126 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 901 East 16th Street, Arbuckle Life Solutions, Ada, OK 74820 |
| Practice phone | 580-226-1656 |
| Enumerated | January 3, 2007 |
| Last updated | July 13, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 1028 (OK) |
| Marriage & Family Therapist primary | 106H00000X | 699 (OK) |
| Counselor, Mental Health | 101YM0800X | 1028 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.