Individual
MR. JASON JAMES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 S WOODLAND BLVD, DELAND, FL 32720-7466
(786) 712-7150
Mailing address
1205 S WOODLAND BLVD, DELAND, FL 32720-7466
(786) 712-7150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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