Individual
LOUISA ISOUD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
345 BLACKSTONE BLVD STE 2, PROVIDENCE, RI 02906-4829
(401) 444-6043
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6403
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS01764
RI
Other
Enumeration date
08/26/2019
Last updated
08/30/2024
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