Individual
MR. SCOTT G THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S, PPS
Contact information
Practice address
2914 CERCADO, SAN CLEMENTE, CA 92673-3452
(949) 212-0350
Mailing address
2914 CERCADO # A, SAN CLEMENTE, CA 92673-3452
(949) 212-0350
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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