Individual
DR. JON C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2001 W 86TH ST, DEPARTMENT OF NEUROPSYCHOLOGY, 3 EAST, INDIANAPOLIS, IN 46260-1902
(317) 338-3103
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20041915A
IN
103T00000X
Psychologist
20041915A
IN
103TC0700X
Clinical Psychologist
0810003469
VA
103TC0700X
Clinical Psychologist
Primary
20041915A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20041915A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200827580
—
IN
Enumeration date
10/26/2005
Last updated
05/16/2016
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