Individual
DR. HANNA S THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1200 N LIBERTY ST, BOISE, ID 83704-8742
(208) 488-4543
Mailing address
3560 N LEFORS PL, MERIDIAN, ID 83646-3760
(208) 420-8031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
ID
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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