Healthcare Provider Details

I. General information

NPI: 1356417745
Provider Name (Legal Business Name): DAVID A THOMAS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1788 WILMINGTON PIKE SUITE 100
GLEN MILLS PA
19342
US

IV. Provider business mailing address

1788 WILMINGTON PIKE SUITE 100
GLEN MILLS PA
19342
US

V. Phone/Fax

Practice location:
  • Phone: 610-744-2960
  • Fax: 610-744-2420
Mailing address:
  • Phone: 610-744-2960
  • Fax: 610-744-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS004113L
License Number StatePA

VIII. Authorized Official

Name: DAVID A THOMAS
Title or Position: NEUROLOGIST
Credential:
Phone: 610-744-2960