Individual
DR. ELAINE ANGELA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
324 LAWRENCE ST NE, MARIETTA, GA 30060-2057
(770) 790-0773
(888) 972-4898
Mailing address
324 LAWRENCE ST NE, MARIETTA, GA 30060-2057
(770) 790-0773
(888) 972-4898
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY002936
GA
103TC0700X
Clinical Psychologist
Primary
PSY002936
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY002936
GA
Other
Enumeration date
04/29/2008
Last updated
09/05/2024
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