Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHLYNNE THOMAS, LGSW
Active Sole ProprietorPsychiatric Hospital · BALTIMORE, MD
Registration Details
- NPI Number
- 1700209269
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2014 (12.230455100845 yrs)
- Last Updated
- Feb 3, 2014
- License
-
17105 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5601 LOCH RAVEN BLVDBALTIMORE, MD, 212392945Browse MD providers · Browse ZIP 21239
- Phone
- 4434443812
- Primary Specialty
-
Psychiatric Hospital
283Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.