Individual
SAMANTHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2463 E GALA ST, MERIDIAN, ID 83642-5209
(208) 955-7333
Mailing address
100 N BELLEFIELD AVE, PITTSBURGH, PA 15213-2600
(412) 246-5619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2022
Last updated
06/21/2024
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