Individual
MR. MICHAEL KENNETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2301 E MICHIGAN AVE, JACKSON, MI 49202-3700
(517) 783-3434
(517) 784-7546
Mailing address
2301 E MICHIGAN AVE, JACKSON, MI 49202-3700
(517) 783-3434
(517) 784-7546
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007608
MI
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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