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Organization

LARRY D THOMAS PHD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY D THOMAS PH.D. (OWNER/PSYCHOLOGIST)
(979) 830-7080
Entity
Organization

Contact information

Practice address
2211 S DAY ST, SUITE 405, BRENHAM, TX 77833-5583
(979) 830-7080
(979) 830-7124
Mailing address
2211 S DAY ST, SUITE 405, BRENHAM, TX 77833-0901
(979) 830-7080
(979) 830-7124

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12195
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0802399-01
TX
Enumeration date
10/03/2007
Last updated
12/29/2010
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