Individual
BRAD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 W 20TH ST STE 806, NEW YORK, NY 10011-3716
(718) 302-7381
Mailing address
37 W 20TH ST STE 806, NEW YORK, NY 10011-3716
(914) 573-7857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024994-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2018
Last updated
08/26/2022
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