Organization
ALIVE AND THRIVING: PSYCHOLOGICAL SERVICES FOR YOUR WELL-BEING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL C THOMAS PHD (SOLE MEMBER)
(813) 982-4220
Entity
Organization
Contact information
Practice address
11007 N 56TH ST, SUITE N, TEMPLE TERRACE, FL 33617-2954
(813) 982-4220
Mailing address
11007 N 56TH ST, SUITE N, TEMPLE TERRACE, FL 33617-2954
(813) 982-4220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9264
FL
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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