Provider Demographics
NPI:1306932843
Name:THOMAS, BARBARA LYN (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LYN
Last Name:THOMAS
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 1:15900 S. CICERO AVE.
Mailing Address - Street 2:OAK FOREST HOSPITAL / PSYCHOLOGY DEPARTMENT
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452
Mailing Address - Country:US
Mailing Address - Phone:708-633-4462
Mailing Address - Fax:708-633-3368
Practice Address - Street 1:15900 S. CICERO AVE.
Practice Address - Street 2:OAK FOREST HOSPITAL / PSYCHOLOGY DEPARTMENT
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452
Practice Address - Country:US
Practice Address - Phone:708-633-4462
Practice Address - Fax:708-633-3368
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical