Provider Demographics
NPI:1164636809
Name:THOMAS, RHIANNON BRWYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:RHIANNON
Middle Name:BRWYNN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11113 BISCAYNE BLVD UNIT 456
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3406
Mailing Address - Country:US
Mailing Address - Phone:786-296-1212
Mailing Address - Fax:
Practice Address - Street 1:11113 BISCAYNE BLVD UNIT 456
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3406
Practice Address - Country:US
Practice Address - Phone:786-296-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6401103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist