Individual
GALE A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
100 PEYTON WAY, CHARLESTON, WV 25314
(304) 720-8466
(304) 720-8463
Mailing address
PO BOX 7310, CHARLESTON, WV 25356-0310
(304) 776-7606
(304) 776-7636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
842
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001326
—
WV
01
—
842
LICENSE OF PSYCHOLOGY
WV
Enumeration date
07/07/2006
Last updated
07/08/2007
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