Individual
WILLIAM BRIAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
144 S THOMAS ST STE 104A, TUPELO, MS 38801-5337
(662) 231-8916
(662) 259-8479
Mailing address
144 S THOMAS ST, STE 104A, TUPELO, MS 38801
(662) 231-8916
(662) 259-8479
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
40015
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2476081
—
MS
Enumeration date
06/16/2006
Last updated
07/19/2017
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