Doctor Name: | AMY R THOMAS |
NPI Number: | 1265879969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED CFY-SLP |
License Number: | SLP008491 |
Business Practice Address: | 1641 Madison Ave Tifton, GA - 317943757 |
Business Phone Number: | 2293536188 |
Business Fax Number: | |
Mailing Address: | 907 18th St E, Suite 150 TIFTON |
State: | GA |
Postal Code: | 317943643 |
Phone Number: | 2293536188 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2013 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008491 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |