Individual
MS. KELLY ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4935 W ARLINGTON RD, BLOOMINGTON, IN 47404-1187
(812) 353-3800
(812) 353-3770
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-3087
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
20042882A
IN
Other
Enumeration date
05/17/2011
Last updated
08/06/2015
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