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NPI Code Detail

MEDICARE: BARBARA DIANE THOMAS

MEDICARE:   BARBARA DIANE THOMAS
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
1106H00000XMarriage & Family TherapistMF001228PA

General Provider Information

NPI Number : 1508456484
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA DIANE THOMAS
Provider Business Mailing Address
First Line : 1000 JEFFERSON ST STE 2C
Second Line :
City : LYNCHBURG
State : VA
Zip : 24504-1724
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 307 4TH AVE STE 901
Second Line :
City : PITTSBURGH
State : PA
Zip : 15222-2113
Country : US
Telephone Number : 412-208-6279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 01/25/2021

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Directions to “ BARBARA DIANE THOMAS ” Practice Location

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