MEDICARE: MRS. KAREN REESE THOMAS M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1497763288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN REESE THOMAS M.A.

Provider Business Mailing Address
First Line	:	520 LAUERS LN
Second Line	:
City	:	WYOMISSING
State	:	PA
Zip	:	19610-2616
Country	:	US
Telephone Number	:	610-777-4501
Fax Number	:

Provider Business Practice Location Address
First Line	:	938 PENN AVE
Second Line	:
City	:	WYOMISSING
State	:	PA
Zip	:	19610-3017
Country	:	US
Telephone Number	:	610-372-0466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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