Individual
PHYLLIS JANE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 GREEN MOUNTAIN CIR, # 70, LITTLE ROCK, AR 72211-2632
(501) 954-9668
Mailing address
506 GREEN MOUNTAIN CIR, # 70, LITTLE ROCK, AR 72211-2632
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
82-21E
AR
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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