Dr. Thomas Mark Ledoux, Psy.D.
Psychologist, Cognitive & Behavioral in La Crosse, WI. Individual provider (NPI-1).
NPI number1255693115
StatusActive
Last updated in NPPESOct 18, 2017
Details
- NPI
- 1255693115
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Mark Ledoux
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2012
- Last updated
- Oct 18, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | 3406 | WI | Yes |
| 103TC0700X | Psychologist, Clinical | 3406 | WI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
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