Derek Devan Thompson M.A. TLLP

NPI 1619104403 - Psychologist - 103TC1900X

NPI Details
NPI 1619104403
Gender Male
Enumeration Date 06/18/2009
Last Updated 06/18/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3030 S 9TH ST
SUITE 3-E
KALAMAZOO MI, 49009-7956, US
Phone (269) 544-7720
Fax (269) 544-7721
Business Location
3030 S 9TH ST
SUITE 3-E
KALAMAZOO MI, 49009-7956, US
Phone (269) 544-7720
Fax (269) 544-7721
Toxanomy
Taxonomy Code 103TC1900X
License State Michigan
License Number 6301014190
Remove 1619104403 NPI Number
 

According to our database, Derek Devan Thompson M.A. TLLP NPI is 1619104403, taxonomy code is 103TC1900X and license number is 6301014190, license state is located at Michigan. Derek Devan Thompson M.A. TLLP physically located at 3030 S 9th St, Kalamazoo MI, 49009-7956. NPI Number Derek Devan Thompson M.A. TLLP has the Individual type.

Sponsored links

1619104403 NPI number is provided on an as is basis without warranty of any kind. 1619104403 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Devan Thompson M.A. TLLP are for informational purposes only.