| Doctor Name: | COURTNEY THOMAS |
| NPI Number: | 1013906478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY19714 |
| Business Practice Address: | 530 Huntmar Park Dr Suite A Herndon, VA - 201705100 |
| Business Phone Number: | 9253253701 |
| Business Fax Number: | |
| Mailing Address: | 1788 Wainwright Dr, RESTON |
| State: | VA |
| Postal Code: | 201903442 |
| Phone Number: | 9253253701 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2005 |
| NPI Last Update Date: | 03/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | PSY19714 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |