Individual
THOMAS C. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
105 W. GRIGGS AVE., LAS CRUCES, NM 88001
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
129
NM
103TP0016X
Prescribing (Medical) Psychologist
0003
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468130YRND
MEDICARE
NM
05
—
61755320
—
NM
Enumeration date
11/29/2006
Last updated
08/28/2018
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