Provider Demographics
NPI:1447460613
Name:THOMASON, DAVID DALLAS (PSYD, MP)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DALLAS
Last Name:THOMASON
Suffix:
Gender:M
Credentials:PSYD, MP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2415
Mailing Address - Country:US
Mailing Address - Phone:318-322-0770
Mailing Address - Fax:318-322-0779
Practice Address - Street 1:203 SOMERSET DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2415
Practice Address - Country:US
Practice Address - Phone:318-322-0770
Practice Address - Fax:318-322-0779
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMP.0013103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)