Individual
DR. PRISCILLA THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2603 OSBORNE RD BAY VILLAGE, SAINT MARYS, GA 31558-8906
(352) 213-9986
Mailing address
2603 OSBORNE RD BAY VILLAGE, SAINT MARYS, GA 31558-8906
(352) 213-9986
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8379
FL
Other
Enumeration date
06/29/2018
Last updated
02/23/2022
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