Thomas, Mary Grace

Thomas, Mary Grace is an sole proprietor health care provider with primary practice located at 4411 Suwanee Dam Rd. Suite 920, Suwanee GA 30024. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Thomas, Mary Grace can be contacted via phone (678) 714-9535.

Contact Information

Primary practice address
4411 Suwanee Dam Rd. Suite 920 Suwanee GA 30024
Phone: (678) 714-9535
Fax: (678) 714-9530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY001806 Georgia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY001806 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY001806 Georgia
Behavioral Health & Social Service Providers / School 103TS0200X PSY001806 Georgia

Profile Details

NPI number 1376616334
LBN Legal business name Thomas, Mary Grace
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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