Individual
MR. RONALD EDWARD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY MA
Contact information
Practice address
19 COURT ST, MONTPELIER, VT 05602
(802) 279-8404
Mailing address
576 LIGHTENING RIDGE RD, PLAINFIELD, VT 05667-9328
(802) 279-8404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000682
VT
103TC1900X
Counseling Psychologist
000682
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00049065
BCBS OF VT
VT
05
—
1007190
—
VT
01
—
2040066
CIGNA
VT
Enumeration date
09/27/2006
Last updated
03/06/2013
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