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

Dr. John R Thibodeau, PHD

Individual provider Clinical Psychologist · NPI 1962506188

Dr. John R Thibodeau, PHD is a Clinical Psychologist in Longwood, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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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 number1962506188
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 8, 2006
Last updated in NPPESJuly 1, 2009
Mailing address296 New Waterford Pl, Longwood, FL 32779-5656

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