Individual
DR. LARRY WOLFORD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2049 FALLEN LEAF LN, LOS ALTOS, CA 94024-7211
(650) 969-6489
(650) 625-0915
Mailing address
2049 FALLEN LEAF LN, LOS ALTOS, CA 94024-7211
(650) 969-6489
(650) 625-0915
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5082
CA
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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