Individual
TRINA GOULD THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
419 JANE RD, APT. 2, TROY, AL 36079-3052
(334) 447-9139
Mailing address
419 JANE RD, APT. 2, TROY, AL 36079-3052
(334) 447-9139
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
943A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175048
—
AL
Enumeration date
06/09/2013
Last updated
08/20/2015
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