Thomas Joseph Forman
Thomas Joseph Forman is a School Psychologist in Lake Villa, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
515 Thompson LnLake Villa, IL 60046-9040
Phone: (847) 245-8346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X · Licence 1991388 (IL) |
|---|
Record details
| NPI number | 1982373486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2021 |
| Last updated in NPPES | September 8, 2021 |
| Certification date | September 8, 2021 |
| Mailing address | 515 Thompson Ln, Lake Villa, IL 60046-9040 |
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Eric Born, SCHOOLPSYCHOLOGIST
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Amanda Moulchin
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Kimberly Ann Rauchfuss, SCHOOLPSYCHOLOGIST
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