Individual
MRS. REBEKAH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A ,HSP-PA
Contact information
Practice address
616 E MARION ST, SHELBY, NC 28150-4618
(704) 482-6776
(704) 482-8640
Mailing address
616 E MARION ST, SHELBY, NC 28150-4618
(704) 482-6776
(704) 482-8640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141 FW
BC/BS
NC
05
—
6005631
—
NC
05
—
6107130
—
NC
Enumeration date
05/24/2006
Last updated
11/19/2020
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