Individual
CLARA MARIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6004 CRESTVIEW CT, MOUNT JULIET, TN 37122-6351
(786) 213-1612
Mailing address
6004 CRESTVIEW CT, MOUNT JULIET, TN 37122-6351
(786) 213-1612
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3763
TN
Other
Enumeration date
07/10/2024
Last updated
08/13/2024
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