Provider Demographics
NPI:1770655748
Name:THOMAS E THORSHEIM, PHD, INC
Entity Type:Organization
Organization Name:THOMAS E THORSHEIM, PHD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:THORSHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:864-421-0098
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC996103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty