Courtney Thomas in Reston - Clinical Child & Adolescent
Courtney Thomas - NPI 1013906478
Courtney Thomas is a Clinical Child & Adolescent in Reston, Virginia. Courtney Thomas practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Courtney Thomas is 1013906478. The last update date is 2014-03-19.
Courtney Thomas's current location address is 1788 Wainwright Dr, Reston, Virginia. You can contact this provider via phone number 9253253701. The mailing address for Courtney Thomas is 1788 Wainwright Dr, Reston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Thomas |
|---|---|
| Address | 1788 Wainwright Dr, Reston, Virginia |
| Phone Number | 9253253701 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1013906478 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2014-03-19 |
Provider Mailing Address Detail
| Address | 1788 Wainwright Dr |
|---|---|
| City | Reston |
| State | Virginia (VA) |
| Post Code | 201903442 |
| Phone Number | 9253253701 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY19714 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique identification code assigned to Courtney Thomas by the Centers for Medicare & Medicaid Services?
The Courtney Thomas has been issued the NPI (National Provider Identifier) 1013906478. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Courtney Thomas?
The Courtney Thomas is physically situated at 1788 Wainwright Dr, in the city of Reston, state of VA, with the postal code 201903442.
What is Courtney Thomas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Courtney Thomas's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013906478 to Courtney Thomas?
The Centers for Medicare & Medicaid Services originally issued the 1013906478 to Courtney Thomas on 2005-10-18.
As of what date were the details pertaining to Courtney Thomas last refreshed?
The information related to the Courtney Thomas, including its address, specialty, and other relevant details, was last updated on 2014-03-19.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL