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NPI Code Detail

MEDICARE: DR. SHARON E THOMAS PSY.D.

MEDICARE: DR. SHARON E THOMAS PSY.D.
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
1103TC0700XClinical Psychologist002582CT

General Provider Information

NPI Number : 1558400374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON E THOMAS PSY.D.
Provider Business Mailing Address
First Line : 436 ORANGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-6402
Country : US
Telephone Number : 203-215-7064
Fax Number : 203-230-0294
Provider Business Practice Location Address
First Line : 436 ORANGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-6402
Country : US
Telephone Number : 203-215-7064
Fax Number : 203-230-0294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/08/2007

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