Individual
DR. CHANDLER CLOVER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.A., M.S., CCCSLP
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
016770
NY
235Z00000X
Speech-Language Pathologist
Primary
SA17782
FL
Other
Enumeration date
01/17/2007
Last updated
10/12/2020
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