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Individual

MR. THOMAS W THORNBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
BLUEGRASS HEALTH PSYCHOLOGY, INC., 2220 YOUNG DRIVE, LEXINGTON, KY 40505-4219
(859) 277-1008
(859) 277-1083
Mailing address
BLUEGRASS HEALTH PSYCHOLOGY, INC., 4101 TATES CREEK CTR DR, STE 150 PMB 123, LEXINGTON, KY 40517-3066
(859) 277-1008
(859) 277-1083

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
0043
KY
103TB0200X
Cognitive & Behavioral Psychologist
Primary
114440
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000478236
ANTHEM
01
1228477
CHA
05
7100417130
KY
Enumeration date
05/04/2006
Last updated
11/18/2020
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