Dr John R Thibodeau, PHD - Psychologist in Longwood, FL

Dr John R Thibodeau, PHD is a Psychologist - Clinical based in Longwood, Florida. Dr John R Thibodeau is licensed to practice in Florida (license number PY 7684) and his current practice location is 296 New Waterford Pl, Longwood, Florida. He can be reached at his office (for appointments etc.) via phone at (321) 972-5693.

NPI number for Dr John R Thibodeau is 1962506188 and his current mailing address is 296 New Waterford Pl, Longwood, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962506188.

Contact Information

Dr John R Thibodeau, PHD
296 New Waterford Pl,
Longwood, FL 32779-5656
(321) 972-5693
(321) 972-5693

Map and Direction




Healthcare Provider's Profile

Full NameDr John R Thibodeau
GenderMale
SpecialityPsychologist - Clinical
Location296 New Waterford Pl, Longwood, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962506188
  • Provider Enumeration Date: 09/08/2006
  • Last Update Date: 07/01/2009

Medical Identifiers

Medical identifiers for Dr John R Thibodeau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962506188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY 7684 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John R Thibodeau is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John R Thibodeau, PHD
296 New Waterford Pl,
Longwood, FL 32779-5656

Ph: (321) 972-5693
Dr John R Thibodeau, PHD
296 New Waterford Pl,
Longwood, FL 32779-5656

Ph: (321) 972-5693

Reviews and Comments


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