Provider Demographics
NPI:1366424582
Name:MAGEE, THOMAS N (PH D)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:N
Last Name:MAGEE
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 OAK KNOLLS DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-6057
Mailing Address - Country:US
Mailing Address - Phone:910-394-4700
Mailing Address - Fax:910-394-4711
Practice Address - Street 1:829 ARMISTEAD ST
Practice Address - Street 2:
Practice Address - City:POPE A F B
Practice Address - State:NC
Practice Address - Zip Code:28308-2403
Practice Address - Country:US
Practice Address - Phone:910-394-4700
Practice Address - Fax:910-394-4711
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1323103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical