Thomas, Mary Grace
Thomas, Mary Grace is an sole proprietor health care provider with primary practice located at 4411 Suwanee Dam Rd. Suite 920, Suwanee GA 30024. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Thomas, Mary Grace can be contacted via phone (678) 714-9535.Contact Information
Primary practice address
4411 Suwanee Dam Rd. Suite 920
Suwanee GA 30024
Phone: (678) 714-9535
Fax: (678) 714-9530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY001806 | Georgia |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY001806 | Georgia |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY001806 | Georgia |
| Behavioral Health & Social Service Providers / School | 103TS0200X | PSY001806 | Georgia |
Profile Details
| NPI number | 1376616334 |
|---|---|
| LBN Legal business name | Thomas, Mary Grace |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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