Individual
JULIA E THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6584
(423) 379-8120
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q081630
—
TN
Enumeration date
10/31/2013
Last updated
01/29/2024
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