Individual
DR. STACEY RHEA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
909 PECAN ST, BASTROP, TX 78602-3819
(719) 510-7883
Mailing address
909 PECAN ST, BASTROP, TX 78602-3819
(719) 510-7883
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36645
TX
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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