Individual
JACKIE THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11330 NARROWLEAF DR, INDIANAPOLIS, IN 46235-3594
(317) 900-2803
Mailing address
11330 NARROWLEAF DR, INDIANAPOLIS, IN 46235-3594
(317) 900-2803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/26/2015
Last updated
12/29/2015
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