Individual
MARTY C THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 LITTLE KESWICK LN, KESWICK, VA 22947-2406
(434) 295-0457
Mailing address
PO BOX 24, KESWICK, VA 22947-0024
(434) 295-0457
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003084
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810003084
BOARD OF PSYCHOLOGY
VA
Enumeration date
03/13/2018
Last updated
03/13/2018
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