Organization
THOMPSON THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT THOMPSON LMFT, PH.D. (THERAPIST)
(385) 312-0440
Entity
Organization
Contact information
Practice address
1675 N FREEDOM BLVD STE 2B2, PROVO, UT 84604-2540
(385) 312-0440
Mailing address
1675 N FREEDOM BLVD STE 2B2, PROVO, UT 84604-2540
(385) 312-0440
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
9151068-0160
UT
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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