Provider Demographics
NPI:1326307281
Name:BELL-THOMSON, SEAN (PHD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:BELL-THOMSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N BROADWAY STE 208
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-2899
Mailing Address - Country:US
Mailing Address - Phone:914-488-6432
Mailing Address - Fax:914-488-6431
Practice Address - Street 1:245 N BROADWAY STE 208
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2899
Practice Address - Country:US
Practice Address - Phone:914-488-6432
Practice Address - Fax:914-488-6431
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
NY021330-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist