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DR. KEYONA SHANTRICE THOMAS PSY.D. MA LCPC NPI 1093994949


NPI Information

NPI: 1093994949
Provider Name: DR. KEYONA SHANTRICE THOMAS, PSY.D., MA, LCPC
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
9701 APOLLO DR STE 100
LARGO, MD
ZIP 20774
Phone: (240) 283-5595
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DR. Keyona Shantrice Thomas, PSY.D., MA, LCPC is a clinical psychologist in Largo, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Keyona Shantrice Thomas, PSY.D., MA, LCPC NPI is 1093994949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9701 APOLLO DR STE 100
LARGO, MD
ZIP 20774-785
Phone: (240) 283-5595

The enumeration date for this NPI number is 10/29/2007 and was last updated on 10/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalLC2555MARYLANDNo
2101YP2500XCounselorProfessionalPRC13986DISTRICT OF COLUMBIANo
3101YP2500XCounselorProfessional0701008086VIRGINIANo
4103TC0700XPsychologistClinical0810007740VIRGINIANo
5103TC0700XPsychologistClinicalPSY200001288DISTRICT OF COLUMBIANo
6103TC0700XPsychologistClinical07013MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1444105200MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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