Provider Demographics
NPI:1386655652
Name:THOMAS, ANNE CARSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CARSON
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 1:7201 BROADWAY
Mailing Address - Street 2:SUITE 218
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-3743
Mailing Address - Country:US
Mailing Address - Phone:210-683-0732
Mailing Address - Fax:210-335-1722
Practice Address - Street 1:7201 BROADWAY
Practice Address - Street 2:SUITE 218
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3743
Practice Address - Country:US
Practice Address - Phone:210-683-0732
Practice Address - Fax:210-335-1722
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-4422103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical