Individual
MONIQUE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5297 COLLEGE AVE # 206, OAKLAND, CA 94618-1462
(510) 652-4455
Mailing address
484 VASSAR AVE, BERKELEY, CA 94708-1216
(510) 847-6223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
25685
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
25685
CA
103TA0700X
Adult Development & Aging Psychologist
25685
CA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
25685
CA
103TC0700X
Clinical Psychologist
25685
CA
103TC2200X
Clinical Child & Adolescent Psychologist
25685
CA
103TF0000X
Family Psychologist
25685
CA
103TH0004X
Health Psychologist
25685
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
25685
CA
103TP2701X
Group Psychotherapy Psychologist
25685
CA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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