Individual
MS. ELSA E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 NYE AVE, IRVINGTON, NJ 07111-3511
(347) 543-1238
Mailing address
520 NYE AVE, IRVINGTON, NJ 07111-3511
(347) 543-1238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
NY
Enumeration date
02/02/2020
Last updated
02/02/2020
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