Individual
DR. THOMPSON ELDER DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10537 KENTSHIRE CT APT B, BATON ROUGE, LA 70810-2985
(225) 400-1756
Mailing address
2028 OAKDALE DR, BATON ROUGE, LA 70810-1865
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1222
LA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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