Individual
DR. THOMAS H HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2603 CANARY ISLES DR, MELBOURNE, FL 32901-6821
(321) 725-7205
Mailing address
2603 CANARY ISLES DR, MELBOURNE, FL 32901-6821
(321) 725-7205
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3193
FL
103TH0004X
Health Psychologist
3193
FL
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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