| Doctor Name: | MR. SUSAN JEANETTE THOMAS |
| NPI Number: | 1225229933 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., PLMHP |
| License Number: | 2006004717 |
| Business Practice Address: | 510 D St Ste. 2 Fairbury, NE - 683522318 |
| Business Phone Number: | 4027296379 |
| Business Fax Number: | 4027294094 |
| Mailing Address: | 510 D St, Ste. 2 FAIRBURY |
| State: | NE |
| Postal Code: | 683522318 |
| Phone Number: | 4027296379 |
| Fax Number: | 4027294094 |
| NPI Enumeration Date: | 08/07/2007 |
| NPI Last Update Date: | 08/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 2006004717 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |