Individual
CATHERINE MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
22 DURHAM ST, WATKINSVILLE, GA 30677-2423
(706) 255-9121
Mailing address
PO BOX 1712, WATKINSVILLE, GA 30677-0034
(706) 255-9121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755557610B
—
GA
Enumeration date
03/07/2006
Last updated
09/10/2019
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