Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John R Thibodeau LLC

Organization Clinical Psychologist · NPI 1417183419

John R Thibodeau LLC is a Clinical Psychologist in Longwood, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

296 New Waterford Pl
Longwood, FL 32779-5656
Phone: (321) 972-5693
Fax: (321) 972-5693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY 7684 (FL)

Record details

NPI number1417183419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Thibodeau — Sole Member · (321) 972-5693
NPI enumeratedJune 4, 2009
Last updated in NPPESJune 4, 2009
Mailing address296 New Waterford Pl, Longwood, FL 32779-5656

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