Individual
DR. MARK RICHARD THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
420 W END AVE, SUITE 1A, NEW YORK, NY 10024-5708
(212) 721-6275
Mailing address
420 W END AVE, SUITE 1A, NEW YORK, NY 10024-5708
(212) 721-6275
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
012991-1
NY
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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