Individual
MRS. TAMARA MICHELLE THOMPSON
Active
Individual
MRS. TAMARA MICHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IECE
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201111882
KY
252Y00000X
Early Intervention Provider Agency
Primary
201111882
KY
Other
Enumeration date
12/10/2013
Last updated
07/09/2026
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