Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 274337 | KY |
N | 103T00000X | Psychologist | 274337 | KY |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 274337 | KY |
N | 103TA0700X | Adult Development & Aging Psychologist | 274337 | KY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 274337 | KY |
Y | 103G00000X | Clinical Psychologist | 274337 | KY |
Y | 103TC0700X | Clinical Psychologist | 274337 | KY |
N | 103TC1900X | Counseling Psychologist | 274337 | KY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 274337 | KY |
N | 103TF0000X | Family Psychologist | 274337 | KY |
N | 103TH0004X | Health Psychologist | 274337 | KY |
N | 103TM1800X | Intellectual & Developmental Disabilities | 274337 | KY |
N | 103TP0814X | Psychoanalysis | 274337 | KY |
NPI | 1720730021 |
---|---|
Provider Name | Dr. Eva Thomas |
First Address | Rockholds, KY 40759-9564 |
Second Address | Rockholds, KY 40759-9564 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2022 |
Last Update Date | 19/01/2022 |