Provider Demographics
NPI:1518095967
Name:CORDIER, THOMAS ANDREW I (MALPC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:ANDREW
Last Name:CORDIER
Suffix:I
Gender:M
Credentials:MALPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 AUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-2423
Mailing Address - Country:US
Mailing Address - Phone:860-558-4694
Mailing Address - Fax:
Practice Address - Street 1:14 AUSTIN DR
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-2423
Practice Address - Country:US
Practice Address - Phone:860-558-4694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001420101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health