Individual
BEVERLY G. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2350 BROADWAY STE 811, NEW YORK, NY 10024-3214
(212) 362-5081
Mailing address
2350 BROADWAY STE 811, NEW YORK, NY 10024-3214
(212) 362-5081
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
NJDE 1005-10 12/82
NJ
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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