Provider Demographics
NPI:1548141898
Name:THURMAN, THOMAS AUSTIN
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:AUSTIN
Last Name:THURMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 W 6TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2400
Mailing Address - Country:US
Mailing Address - Phone:620-208-6577
Mailing Address - Fax:
Practice Address - Street 1:1512 W 6TH AVE STE B
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2400
Practice Address - Country:US
Practice Address - Phone:620-208-6577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist