Individual
CAROL L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 HAIGHT AVENUE, SUITE 203 SPECTRUM BEHAVIORAL MANAGEMENT SERV INC, POUGHKEEPSIE, NY 12603-2408
(845) 485-3500
(845) 485-8780
Mailing address
20 DANIS AVENUE, POUGHKEEPSIE, NY 12603-2408
(845) 485-3500
(845) 485-8780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
062351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033150
BEACON HEALTH STRAT
—
01
—
2182701
CIGNA BEH HEALTH
—
01
—
499716
VALUE OPTIONS
—
01
—
699170
MVP HEALTH CARE
—
Enumeration date
08/21/2006
Last updated
07/08/2007
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