Individual
DR. MICHAEL D. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LP
Contact information
Practice address
1516 W LAKE ST, SUITE 103, MINNEAPOLIS, MN 55408-2554
(612) 822-1357
(612) 822-1360
Mailing address
2712 FREMONT AVE S, MINNEAPOLIS, MN 55408-1122
(612) 822-1357
(612) 822-1360
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
LP4671
MN
103TF0200X
Forensic Psychologist
Primary
LP 4671
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77G86TH
BCBS
—
Enumeration date
03/23/2007
Last updated
09/11/2025
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