Provider Demographics
NPI:1114240504
Name:THOMAS L. PRICE INC
Entity type:Organization
Organization Name:THOMAS L. PRICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-274-1119
Mailing Address - Street 1:68010 S LYNCREST AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2515
Mailing Address - Country:US
Mailing Address - Phone:605-274-1119
Mailing Address - Fax:605-271-9983
Practice Address - Street 1:6810 S LYNCREST AVE STE 201
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2515
Practice Address - Country:US
Practice Address - Phone:605-274-1119
Practice Address - Fax:605-271-9983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD154103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty