Provider Demographics
NPI:1710136197
Name:THOMAS, GAIL Y (PHD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:Y
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 1:7395 HODGSON MEMORIAL DRIVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406
Mailing Address - Country:US
Mailing Address - Phone:912-961-9796
Mailing Address - Fax:912-961-9796
Practice Address - Street 1:7395 HODGSON MEMORIAL DR.
Practice Address - Street 2:STE 110
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-961-9796
Practice Address - Fax:912-961-9746
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10009077101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor