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ELAINE A THOMAS PSYD LLC NPI 1447584578


NPI Information

NPI: 1447584578
Provider Name: ELAINE A THOMAS PSYD LLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
316 ALEXANDER ST SE
SUITE 6
MARIETTA, GA
ZIP 30060
Phone: (770) 216-0460
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ELAINE A THOMAS PSYD LLC is a clinical child and adolescent psychologist in Marietta, GA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. ELAINE A THOMAS PSYD LLC NPI is 1447584578. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

316 ALEXANDER ST SE
SUITE 6
MARIETTA, GA
ZIP 30060-217
Phone: (770) 216-0460
Fax: (678) 581-0146

The provider's authorized official is Elaine Angela Thomas .
The authorized official title is Licensed Psychologist/owner and has the following contact phone number (770) 216-0460.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 3/17/2010.


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
1103TB0200XPsychologistCognitive & BehavioralPSY#2936GEORGIANo
2103TC0700XPsychologistClinicalPSY#2936GEORGIANo
3103TC2200XPsychologistClinical Child & AdolescentPSY#2936GEORGIAYes

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
1583311126AMEDICAIDGEORGIA

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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