I have the same set up for my pdoc and T, who are both out of the same practice. This is not unusual for T's/ pdocs that work out of a group practice. Is your t a psychiatrist? That would be another reason. I think in group practices clinicians have larger case loads and could end up with too many voicemails or emails to keep track of. This would be especially true of a pdoc. If a T works solo it's different and they'd need to provide you with a direct contact method. Is the staff good about relaying messages so you get a timely response? I don't care about having a direct number or email so long as I can get in touch in an emergency, but I do understand outside contact is important to some people. If you get a reply are you ok with the arrangement? If not then you might try to find someone with a different set up.