Individual
ASHLEY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 W ORBIT DR, GUTHRIE, OK 73044-6309
(580) 530-0904
Mailing address
2621 W ORBIT DR, GUTHRIE, OK 73044-6309
(580) 530-0904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2355S0801X
Speech-Language Assistant
Primary
SLPA163
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
OK
Enumeration date
10/13/2016
Last updated
02/13/2024
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