Provider Demographics
NPI:1477057388
Name:DEWEY, THOMAS ROSS (LPCC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:ROSS
Last Name:DEWEY
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 PALLETTE DR NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-1726
Mailing Address - Country:US
Mailing Address - Phone:330-974-8114
Mailing Address - Fax:
Practice Address - Street 1:4531 BELMONT AVE STE 9
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1041
Practice Address - Country:US
Practice Address - Phone:330-759-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1800900101YP2500X
OHE.2001770101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional