Organization
PETER THOMAS PHD PERSONAL COPORATION
Active
Other names
Peter Thomas, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M THOMAS PHD (OWNER)
(206) 356-8724
Entity
Organization
Contact information
Practice address
19018 CORLISS AVE N STE 300, SHORELINE, WA 98133-4146
(206) 356-8724
(206) 417-2841
Mailing address
19018 CORLISS AVE N STE 300, SHORELINE, WA 98133-4146
(206) 356-8724
(206) 417-2841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1172
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78567
LABOR & INDUSTRIES PROV#
WA
01
—
8912335
CRIME VICTIMS COMP PROV#
WA
01
—
AETNA
5113341
WA
Enumeration date
08/16/2006
Last updated
05/12/2022
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