Melvin Russell Thomas in Willard - Clinical
Melvin Russell Thomas - NPI 1912985029
Melvin Russell Thomas is a Clinical in Willard, North Carolina. Melvin Russell Thomas practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melvin Russell Thomas is 1912985029. The last update date is 2013-07-15.
Melvin Russell Thomas's current location address is Po Box 211, Willard, North Carolina. You can contact this provider via phone number 9104417080 and fax number 9105525006. The mailing address for Melvin Russell Thomas is Po Box 211, Willard, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melvin Russell Thomas |
|---|---|
| Address | Po Box 211, Willard, North Carolina |
| Phone Number | 9104417080 |
| Fax Number | 9105525006 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1912985029 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2013-07-15 |
Provider Mailing Address Detail
| Address | Po Box 211 |
|---|---|
| City | Willard |
| State | North Carolina (NC) |
| Post Code | 284780211 |
| Phone Number | 9104417080 |
| Fax Number | 9105525006 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2926 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6000679 | NC | -- | |
| 046EG | NC | BCBS NC | |
| 62-00242 | EVERCARE |
Post Comment/ Review Below
What is the unique identifier code issued to Melvin Russell Thomas by the Centers for Medicare & Medicaid Services?
The Melvin Russell Thomas has been assigned the NPI (National Provider Identifier) 1912985029. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Melvin Russell Thomas's facilities are geographically located?
The facilities of Melvin Russell Thomas are physically situated at the following location: Po Box 211, Willard, NC, 284780211.
What is the area of specialization for Melvin Russell Thomas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Melvin Russell Thomas is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912985029 to Melvin Russell Thomas?
The Melvin Russell Thomas received its 1912985029 assignment from the Centers for Medicare & Medicaid Services on 2006-01-09.
As of what date was the information regarding Melvin Russell Thomas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Melvin Russell Thomas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-07-15.