Individual
WILLIAM THOMAS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
160 MACGREGOR PINES DR, SUITE 206, CARY, NC 27511-6036
(919) 234-4468
(919) 234-4478
Mailing address
4426 JOHNSON ST, HIGH POINT, NC 27265-9370
(336) 847-1130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000328
—
NC
01
—
680015719
RR MEDICARE
NC
Enumeration date
05/31/2006
Last updated
07/01/2015
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