Individual
NANCY S THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3350 W AMERICANA TER STE 320, BOISE, ID 83706-2548
(208) 841-1174
(208) 336-0333
Mailing address
4072 S TALAVERA WAY, BOISE, ID 83706-5671
(208) 841-1174
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY202057
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010143783
REGENCE BLUE SHIELD
ID
01
—
N5533
BLUE CROSS
ID
Enumeration date
08/30/2006
Last updated
11/25/2023
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