Individual
MRS. BRENDA J. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 NW 25TH ST, OKLAHOMA CITY, OKLAHOMA CITY, OK 73106-5629
(405) 525-2525
(405) 525-2525
Mailing address
1215 NW 25TH ST, OKLAHOMA CITY, OKLAHOMA CITY, OK 73106-5629
(405) 525-2525
(405) 525-2525
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20007978013
—
OK
Enumeration date
09/30/2011
Last updated
09/30/2011
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