Individual
MR. JAMES COLBY THOMPSON
Active
Individual
MR. JAMES COLBY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
128081
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041742
ANTHEM
KY
05
—
89007660
—
KY
Enumeration date
09/14/2005
Last updated
09/07/2022
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