Organization
CENTER FOR AUTISM & PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIE THOMPSON PH.D. (PSYCHOLOGIST/EXECUTIVE DIRECTOR)
(336) 306-5644
Entity
Organization
Contact information
Practice address
300 NORTHGATE PARK DR, WINSTON SALEM, NC 27106-3482
(336) 306-5644
(336) 499-6049
Mailing address
300 NORTHGATE PARK DR, WINSTON SALEM, NC 27106-3482
(336) 306-5644
(336) 499-6049
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302082
—
NC
Enumeration date
05/27/2008
Last updated
05/27/2008
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