Provider Demographics
NPI:1770722076
Name:BOUNDS, THOMAS ANDREW (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ANDREW
Last Name:BOUNDS
Suffix:
Gender:M
Credentials:PHD
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Other - First Name:
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Mailing Address - Street 1:2620 CENTENARY BLVD
Mailing Address - Street 2:SUITE #207
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3356
Mailing Address - Country:US
Mailing Address - Phone:318-676-7650
Mailing Address - Fax:318-676-7501
Practice Address - Street 1:2620 CENTENARY BLVD
Practice Address - Street 2:SUITE #207
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3356
Practice Address - Country:US
Practice Address - Phone:318-676-7650
Practice Address - Fax:318-676-7501
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA999103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical