Individual
DR. MARY WELTE THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
400 HOUSTON RD, AMBLER, PA 19002-3440
(215) 628-9656
Mailing address
400 HOUSTON RD, AMBLER, PA 19002-3440
(215) 628-9656
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS000299-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TH52014
BLUE SHIELD
PA
Enumeration date
06/12/2006
Last updated
07/21/2022
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