WILLIAM BRIAN THOMAS PSY.D.

Clinical Neuropsychologist

Tupelo, Mississippi

Provider NPI: 1720022973

Provider Information:
 WILLIAM BRIAN THOMAS PSY.D.
Gender: M
Not Sole Proprietor

Practice Location:
144 S THOMAS ST STE 104A  TUPELO, MS 38801 US
Tel: 662-231-8916  Fax: 662-259-8479

Business Mailing Address:
144 S THOMAS ST STE 104A TUPELO, MS 38801 US
Tel: 662-231-8916  Fax: 662-259-8479

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	MS	40015

Other Provider Identifiers:

Issuer	Number	State	Type
	2476081	MS	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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