Individual
MRS. KRISTINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1201 IVY RD, MANASQUAN, NJ 08736-2309
(732) 722-8602
Mailing address
1201 IVY RD, MANASQUAN, NJ 08736-2309
(732) 722-8602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00456300
NJ
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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