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Organization

THOMAS H SHERIFF PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS H SHERIFF PHD (PRESIDENT)
(903) 874-4656
Entity
Organization

Contact information

Practice address
200 N 13TH ST, STE 201, CORSICANA, TX 75110-4618
(903) 874-4656
(903) 874-4666
Mailing address
PO BOX 14, CORSICANA, TX 75151-0014
(903) 874-4656
(903) 874-4666

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TR0400X
Rehabilitation Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0093QY
BCBS
TX
01
00B72A
BCBS
TX
05
032148101
TX
Enumeration date
03/15/2006
Last updated
07/26/2012
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