Provider Demographics
NPI:1992886345
Name:THOMAS, CLAUDIA ANN (ED D)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 DOLAN DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-5201
Mailing Address - Country:US
Mailing Address - Phone:912-667-6795
Mailing Address - Fax:
Practice Address - Street 1:130 TIBET AVE APT 103
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-9029
Practice Address - Country:US
Practice Address - Phone:912-667-6795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY000920103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA001398OtherTRICARE
GA001398OtherTRICARE