| Rebecca A Thomas, Psyd | |
|
838 Granby St Norfolk VA 23510-2051 | |
| (757) 640-8286 | |
| (757) 640-8269 |
| Full Name | Rebecca A Thomas, Psyd |
|---|---|
| Speciality | Psychologist |
| Location | 838 Granby St, Norfolk, Virginia |
| Authorized Official Name and Position | Rebecca Ann Thomas (OWNER) |
| Authorized Official Contact | 7576408286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca A Thomas, Psyd 838 Granby St Norfolk VA 23510-2051 Ph: (757) 640-8286 | Rebecca A Thomas, Psyd 838 Granby St Norfolk VA 23510-2051 Ph: (757) 640-8286 |
| NPI Number | 1700075447 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Medicare PECOS PAC ID | 5799858460 |
|---|---|
| Medicare Enrollment ID | O20100312000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700075447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810003371 (Virginia) | Primary |
| Provider Name | Rebecca A Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922076678 PECOS PAC ID: 6709815772 Enrollment ID: I20100312000549 |
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