Provider Demographics
NPI:1245503010
Name:THOMASON, BARBARA ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANNE
Last Name:THOMASON
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 1:5807 LONG PARK RD.
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-5718
Mailing Address - Country:US
Mailing Address - Phone:770-844-0662
Mailing Address - Fax:770-844-0455
Practice Address - Street 1:741 PIEDMONT AVE. N.E.
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1464
Practice Address - Country:US
Practice Address - Phone:404-449-4456
Practice Address - Fax:770-844-0455
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-09
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY000691103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist