Individual
MS. DANIELLE MARCE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4281 SHIRLEY CT, HOMER, AK 99603-7227
(907) 299-1482
(907) 235-6082
Mailing address
PO BOX 1382, HOMER, AK 99603-1382
(907) 299-1482
(907) 235-6082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
139
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP0139
—
AK
05
—
SP01391
—
AK
Enumeration date
04/06/2007
Last updated
07/09/2007
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