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Organization
ELAINE A THOMAS PSYD LLC
Active
Organization
ELAINE A THOMAS PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE ANGELA THOMAS PSY.D. (LICENSED PSYCHOLOGIST/OWNER)
(770) 216-0460
Entity
Organization
Contact information
Practice address
316 ALEXANDER ST SE, SUITE 6, MARIETTA, GA 30060-8217
(770) 216-0460
(678) 581-0146
Mailing address
316 ALEXANDER ST SE, SUITE 6, MARIETTA, GA 30060-8217
(770) 216-0460
(678) 581-0146
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY#2936
GA
103TC0700X
Clinical Psychologist
PSY#2936
GA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY#2936
GA
Other
Enumeration date
09/22/2009
Last updated
03/17/2010
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