Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY13325 | CA |
N | 103T00000X | Psychologist | PSY13325 | CA |
Y | 102L00000X | Psychologist | PSY889 | ME |
Y | 103T00000X | Psychologist | PSY889 | ME |
NPI | 1013008994 |
---|---|
Provider Name | Dr. Kathryn W Thomas |
First Address | Bath, ME 04530 |
Second Address | Brunswick, ME 04011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/07/2007 |