Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 251598 | KY |
N | 103TC1900X | Counseling Psychologist | 240438 | KY |
NPI | 1033654041 |
---|---|
Provider Name | Norma Thomas |
First Address | Louisville, KY 40218-3184 |
Second Address | Louisville, KY 40218-3184 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2016 |
Last Update Date | 12/05/2021 |