Individual
DR. FAY CAROL THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2495 SHREVEPORT HWY 71N, PINEVILLE, LA 71360
(318) 473-0010
Mailing address
303 RAINTREE PLACE, PINEVILLE, LA 71360
(318) 449-1462
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
249
LA
Other
Enumeration date
10/02/2006
Last updated
10/24/2014
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