Individual
DR. MARY GRACE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4411 SUWANEE DAM RD., SUITE 920, SUWANEE, GA 30024
(678) 714-9535
(678) 714-9530
Mailing address
4411 SUWANEE DAM RD., SUITE 920, SUWANEE, GA 30024
(678) 714-9535
(678) 714-9530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY001806
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY001806
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY001806
GA
103TS0200X
School Psychologist
Primary
PSY001806
GA
Other
Enumeration date
11/16/2006
Last updated
09/11/2025
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