| Doctor Name: | DR. DUANE EDWARD THOMAS |
| NPI Number: | 1508298423 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 7131 Liberty Rd Suite 202 Gwynn Oak, MD - 212074575 |
| Business Phone Number: | 4434363003 |
| Business Fax Number: | |
| Mailing Address: | 7131 Liberty Rd, Suite 202 GWYNN OAK |
| State: | MD |
| Postal Code: | 212074575 |
| Phone Number: | 4434363003 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2013 |
| NPI Last Update Date: | 08/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |