Provider Demographics
NPI:1396895124
Name:THOMAS, WILLIAM ALBERT SR (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALBERT
Last Name:THOMAS
Suffix:SR
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:ALBERT
Other - Last Name:THOMAS
Other - Suffix:SR
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:450 WINSTON DR
Mailing Address - Street 2:APT. 101
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1729
Mailing Address - Country:US
Mailing Address - Phone:415-566-2621
Mailing Address - Fax:415-664-1865
Practice Address - Street 1:450 WINSTON DR
Practice Address - Street 2:APT. 101
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1729
Practice Address - Country:US
Practice Address - Phone:415-566-2621
Practice Address - Fax:415-664-1865
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8611103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical