Individual
MR. HERMAN TED THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
1516 W LAKE ST, MINNEAPOLIS, MN 55408-2554
(612) 821-2099
(612) 821-2099
Mailing address
1516 W LAKE ST, MINNEAPOLIS, MN 55408-2554
(612) 821-2099
(612) 821-2099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2769
MN
Other
Enumeration date
01/25/2007
Last updated
07/09/2007
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