Provider Demographics
NPI:1942517453
Name:THOMAS, DEXTER LEE II
Entity Type:Individual
Prefix:MR
First Name:DEXTER
Middle Name:LEE
Last Name:THOMAS
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 KRESGE LN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-6435
Mailing Address - Country:US
Mailing Address - Phone:775-359-9200
Mailing Address - Fax:775-359-9205
Practice Address - Street 1:350 KRESGE LN
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-6435
Practice Address - Country:US
Practice Address - Phone:775-359-9200
Practice Address - Fax:775-359-9205
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation