Individual
CHRISTINE A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-2741
Mailing address
1150 6TH AVE, CUMBERLAND, WI 54829-9103
(715) 822-6169
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39113300
—
WI
Enumeration date
01/30/2007
Last updated
07/08/2007
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