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NPI Code Detail

MEDICARE: MS. KERRY-LYNN SUZANNE THOMAS M.ED.

MEDICARE:  MS. KERRY-LYNN SUZANNE THOMAS  M.ED.
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
1101Y00000XCounselor5469NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15469OTHERNCLPC LICENSE NUMBER

General Provider Information

NPI Number : 1952499675
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KERRY-LYNN SUZANNE THOMAS M.ED.
Provider Business Mailing Address
First Line : 113 ABINGDON CT APT 1A
Second Line :
City : CARY
State : NC
Zip : 27513-3244
Country : US
Telephone Number : 919-771-9285
Fax Number :
Provider Business Practice Location Address
First Line : 1055 DRESSER CT
Second Line : BUILDING 2
City : RALEIGH
State : NC
Zip : 27609-7323
Country : US
Telephone Number : 919-876-3130
Fax Number : 919-876-3134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 01/15/2015

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Directions to “ MS. KERRY-LYNN SUZANNE THOMAS M.ED.” Practice Location

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