Individual
HEATHER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 J STREET, SHASTA HALL 172, SACRAMENTO, CA 95819-6071
(916) 278-6654
Mailing address
873 WOODSIDE LN E UNIT 10, SACRAMENTO, CA 95825-4344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20645
CA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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