Provider Demographics
NPI:1427380377
Name:EL RIO PSYCHOLOGICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:EL RIO PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:WILLIAM THOMASON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:O
Authorized Official - Last Name:THOMASON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-841-3987
Mailing Address - Street 1:PO BOX 1154
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-1154
Mailing Address - Country:US
Mailing Address - Phone:903-893-0298
Mailing Address - Fax:903-892-6323
Practice Address - Street 1:402 W LAMAR ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5885
Practice Address - Country:US
Practice Address - Phone:903-893-0298
Practice Address - Fax:903-892-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25481103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty