Individual
DR. S. DIANNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24100 CHAGRIN BLVD, SUITE 370, BEACHWOOD, OH 44122-5535
(216) 702-2445
Mailing address
24100 CHAGRIN BLVD, SUITE 370, BEACHWOOD, OH 44122-5535
(216) 702-2445
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5826
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870742741
MEDICAL MUTUAL
OH
01
—
PTANH428940
MEDICARE
OH
Enumeration date
03/13/2007
Last updated
02/02/2017
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