Individual
DR. AMANDA L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8081 INNOVATION PARK DR STE 2201, FAIRFAX, VA 22031-4867
(571) 472-0767
(571) 472-0377
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810004239
VA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY1000568
DC
Other
Enumeration date
08/09/2009
Last updated
04/26/2021
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