Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS JOSEPH FORMAN
Active Sole ProprietorSchool Psychologist · LAKE VILLA, IL
Registration Details
- NPI Number
- 1982373486
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2021 (4.6404042780791 yrs)
- Last Updated
- Sep 8, 2021
- License
-
1991388 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
515 THOMPSON LNLAKE VILLA, IL, 600469040Browse IL providers · Browse ZIP 60046
- Phone
- 8472458346
- Primary Specialty
-
School Psychologist
103TS0200X
Other School Psychologist Providers in LAKE VILLA, IL
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY ANN RAUCHFUSS | SCHOOL PSYCHOLOGIST | 1962908236 |
| AMANDA MOULCHIN | — | 1811553316 |
| ERIC BORN | SCHOOL PSYCHOLOGIST | 1639735137 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.