Individual
MR. THOMAS H SHERIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 N 13TH ST, STE 201, CORSICANA, TX 75110-4618
(903) 874-4656
(903) 874-4666
Mailing address
PO BOX 14, CORSICANA, TX 75151-0014
(903) 874-4656
(903) 874-4666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21340
TX
103TH0100X
Health Service Psychologist
21340
TX
103TR0400X
Rehabilitation Psychologist
21340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032148101
—
TX
01
—
680010984
MEDICARE RAILROAD
TX
Enumeration date
03/15/2006
Last updated
07/26/2012
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