Individual
DR. KEYONA SHANTRICE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., MA, LCPC
Contact information
Practice address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(240) 283-5595
Mailing address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(240) 283-5595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701008086
VA
101YP2500X
Professional Counselor
LC2555
MD
101YP2500X
Professional Counselor
PRC13986
DC
103T00000X
Psychologist
PSY200001288
DC
103TC0700X
Clinical Psychologist
Primary
07013
MD
103TC0700X
Clinical Psychologist
0810007740
VA
103TC0700X
Clinical Psychologist
PSY200001288
DC
103TS0200X
School Psychologist
PSY200001288
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444105200
—
MD
Enumeration date
10/29/2007
Last updated
02/23/2026
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