Provider Demographics
NPI:1265286678
Name:THOMAS, SAMMY AMORKOR
Entity type:Individual
Prefix:
First Name:SAMMY
Middle Name:AMORKOR
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14008 E ANNAPOLIS CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5707
Mailing Address - Country:US
Mailing Address - Phone:240-559-6967
Mailing Address - Fax:
Practice Address - Street 1:5020 SW 124TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-6078
Practice Address - Country:US
Practice Address - Phone:305-515-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician