Provider Demographics
NPI:1609800218
Name:THORSHEIM, THOMAS ERIC (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ERIC
Last Name:THORSHEIM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 GREENLAND DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3018
Mailing Address - Country:US
Mailing Address - Phone:864-421-0098
Mailing Address - Fax:864-421-0099
Practice Address - Street 1:45 GREENLAND DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3018
Practice Address - Country:US
Practice Address - Phone:864-421-0098
Practice Address - Fax:864-421-0099
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC996103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist