| Doctor Name: | DR. THOMAS JOSEPH CONBOY |
| NPI Number: | 1376893032 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 555 |
| Business Practice Address: | 1200 14th St Suite A Phenix City, AL - 368674907 |
| Business Phone Number: | 2058211607 |
| Business Fax Number: | |
| Mailing Address: | 26 Wickham Dr, COLUMBUS |
| State: | GA |
| Postal Code: | 319076329 |
| Phone Number: | 2058211607 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2012 |
| NPI Last Update Date: | 05/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 555 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |