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