Individual
DR. KRISTIE MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 NORTHGATE PARK DR, WINSTON SALEM, NC 27106-3482
(336) 306-5644
(336) 449-6049
Mailing address
300 NORTHGATE PARK DR, WINSTON SALEM, NC 27106-3482
(336) 306-5644
(336) 449-6049
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107430
—
NC
Enumeration date
02/01/2007
Last updated
07/08/2007
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