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Individual

MR. JAMES COLBY THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
2400 EASTPOINT PKWY STE 410, LOUISVILLE, KY 40223-4154
(502) 253-6625
(502) 253-6629
Mailing address
2400 EASTPOINT PKWY STE 410, LOUISVILLE, KY 40223-4154
(502) 253-6625
(502) 253-6629

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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