Organization
CLINICAL PSYCHOLOGY ASSOCIATES, LLC
Active
Other names
Clinical Psychology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILLIAM THOMPSON PHD (CLINIC DIRECTOR/OWNER)
(262) 763-9191
Entity
Organization
Contact information
Practice address
197 W CHESTNUT ST STE 100, BURLINGTON, WI 53105-1200
(262) 763-9191
(262) 763-7767
Mailing address
197 W CHESTNUT ST STE 100, BURLINGTON, WI 53105-1200
(262) 763-9191
(262) 763-7767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
1588
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42171100
—
WI
Enumeration date
10/29/2007
Last updated
04/22/2021
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