Theresa A Thompson CCC-SLP

NPI 1255600755 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1255600755
Gender Female
Enumeration Date 12/29/2011
Last Updated 12/29/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
9062 W OAK LN
LAKE CITY MI, 49651-8062, US
Phone (231) 839-0083
Fax
Business Location
9062 W OAK LN
LAKE CITY MI, 49651-8062, US
Phone (231) 839-0083
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Michigan
License Number 01117135
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According to our database, Mrs. Theresa A Thompson CCC-SLP NPI is 1255600755, taxonomy code is 235Z00000X and license number is 01117135, license state is located at Michigan. Theresa A Thompson CCC-SLP physically located at 9062 W Oak Ln, Lake City MI, 49651-8062. NPI Number Theresa A Thompson CCC-SLP has the Individual type.

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1255600755 NPI number is provided on an as is basis without warranty of any kind. 1255600755 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa A Thompson CCC-SLP are for informational purposes only.