Individual
DR. KIP VAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
119 W 57TH ST STE 1100, NEW YORK, NY 10019-2401
(770) 856-6359
Mailing address
368 S PICKETT ST UNIT 22141, ALEXANDRIA, VA 22304-8322
(770) 856-6359
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
022173
NY
103TC0700X
Clinical Psychologist
Primary
022173
NY
103TC2200X
Clinical Child & Adolescent Psychologist
022173
NY
Other
Enumeration date
09/23/2013
Last updated
10/31/2025
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