Individual
DR. PAULA JEAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17515 W 9 MILE RD, SUITE 975, SOUTHFIELD, MI 48075-4403
(248) 557-3030
(248) 557-4214
Mailing address
17515 W 9 MILE RD, SUITE 975, SOUTHFIELD, MI 48075-4403
(248) 557-3030
(248) 557-4214
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301003342
MI
103TC0700X
Clinical Psychologist
Primary
6301003342
MI
103TE1100X
Exercise & Sports Psychologist
6301003342
MI
103TH0100X
Health Service Psychologist
6301003342
MI
103TP2701X
Group Psychotherapy Psychologist
6301003342
MI
103TR0400X
Rehabilitation Psychologist
6301003342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037366
VALUE OPTIONS PROVIDER ID
MI
01
—
OF32385
BCBS PROVIDER ID#
MI
Enumeration date
01/22/2007
Last updated
12/14/2007
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