NPI 1770915399 · live from the CMS NPI Registry
Jessica Britt-Thomas
Psychologist in Augusta, GA. National Provider Identifier 1770915399, active.
NPI record
| NPI | 1770915399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 997 Saint Sebastian Way, Augusta, GA 30912 |
| Practice phone | 706-721-8623 |
| Mailing address | 1120 15th St Ste Bi1056, Augusta, GA 30912 |
| Enumerated | August 6, 2013 |
| Last updated | June 15, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Psychologist primary | 103T00000X | PSY004222 (GA) |
| Marriage & Family Therapist | 106H00000X | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.