Provider Demographics
NPI:1720817927
Name:THOMAS, ALPHONSO (CPSS, NLP)
Entity type:Individual
Prefix:MR
First Name:ALPHONSO
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
Credentials:CPSS, NLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:NC
Mailing Address - Zip Code:27021-9763
Mailing Address - Country:US
Mailing Address - Phone:336-340-5364
Mailing Address - Fax:
Practice Address - Street 1:105 LAUREL LN
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-9763
Practice Address - Country:US
Practice Address - Phone:336-340-5364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist