Individual
MS. HEATHER DIANE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2900 CHARLEVOIX DR SE, SUITE 200, GRAND RAPIDS, MI 49546-7085
(800) 325-1326
Mailing address
2900 CHARLEVOIX DR SE STE 200, GRAND RAPIDS, MI 49546-7086
(800) 325-1326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
17900
CA
235Z00000X
Speech-Language Pathologist
Primary
2657
TN
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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