Individual
DR. BRIAN KEITH THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7726
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7726
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009939
NY
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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