Individual
DR. CELENA LOUISE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
177 SQUIRE REACH, SUFFOLK, VA 23434-8160
(757) 934-2123
Mailing address
360 WYTHE CREEK RD STE C, POQUOSON, VA 23662-1975
(757) 373-6328
(757) 868-0087
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000230
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010242681
—
VA
01
—
188615
BCBS VA
VA
05
—
7707037
—
VA
Enumeration date
07/28/2006
Last updated
06/12/2019
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