Individual
KIM M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
753 PERALTA AVE, BERKELEY, CA 94707-1817
(510) 384-7945
Mailing address
1191 SOLANO AVE UNIT 6487, ALBANY, CA 94706-5032
(510) 384-7945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY32986
CA
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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