| Doctor Name: | MR. TYRONE H THOMAS |
| NPI Number: | 1265704621 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | PC006157 |
| Business Practice Address: | 500 Wiltshire Rd Upper Darby, PA - 190825016 |
| Business Phone Number: | 6106233037 |
| Business Fax Number: | 6106233037 |
| Mailing Address: | 500 Wiltshire Rd, UPPER DARBY |
| State: | PA |
| Postal Code: | 190825016 |
| Phone Number: | 6106233037 |
| Fax Number: | 6106233037 |
| NPI Enumeration Date: | 02/01/2012 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | PC006157 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |