Thomas, William Brian

Thomas, William Brian is an individual health care provider with primary practice located at 144 S Thomas St Ste 104A , Tupelo MS 38801-5337. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Thomas, William Brian can be contacted via phone (662) 231-8916.

Contact Information

Primary practice address
144 S Thomas St Ste 104A Tupelo MS 38801-5337
Fax: (662) 259-8479
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 40015 Mississippi

Profile Details

NPI number 1720022973
LBN Legal business name Thomas, William Brian
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 19th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720022973 NPPES
Mississippi MEDICAID 2476081

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