Organization
BRIAN THOMAS PSY D PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN THOMAS PSY.D (OWNER)
(662) 620-7102
Entity
Organization
Contact information
Practice address
144 S THOMAS ST STE 104A, TUPELO, MS 38801-5337
(662) 231-8916
(662) 620-7106
Mailing address
144 S THOMAS ST, STE 103 ROOM 1, TUPELO, MS 38801-5312
(662) 231-8916
(662) 620-7106
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
40015
MS
Other
Enumeration date
12/16/2013
Last updated
03/22/2022
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