Individual
CARRIE CHRISTINE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1273 LITTLE SORREL RD, HIXSON, TN 37343-5486
(210) 861-3940
Mailing address
1273 LITTLE SORREL RD, HIXSON, TN 37343-5486
(210) 861-3940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1738718-01
—
TX
01
—
648307
MEDICARE
TX
Enumeration date
07/18/2006
Last updated
05/01/2025
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