Andrea Jean Thomas, LLP
Psychologist in Detroit, MI. Individual provider (NPI-1).
NPI number1710691704
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1710691704
- Entity type
- Individual (NPI-1)
- Name
- Andrea Jean Thomas
- Credential
- LLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2023
- Certification date
- Dec 21, 2022
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6361002208 | MI | Yes |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 800-653-6568
Mailing address
1 Ford Pl Ste 3aDetroit, MI 48202-3450
Phone 313-874-4316
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