Individual
DR. ANNE E. GILLES-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4511 HARLEM RD, SNYDER, NY 14226-3803
(716) 204-5258
(716) 204-5259
Mailing address
4511 HARLEM RD, SNYDER, NY 14226-3803
(716) 204-5258
(716) 204-5259
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012530-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026410601
UNIVERA HEALTHCARE
NY
01
—
000527429001
BLUE CROSS BLUE SHIELD
NY
Enumeration date
02/27/2007
Last updated
07/08/2007
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