Individual
ASHLAND THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2108 UMSTEAD DRIVE, RALEIGH, NC 27609
(919) 923-1311
Mailing address
1206 WATSON RD, CHAPEL HILL, NC 27516-7890
(919) 923-1311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4600
NC
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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