Individual
DR. ELIZABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
841 MASON LN, LAKE IN THE HILLS, IL 60156-4458
(847) 344-5858
(847) 253-4597
Mailing address
841 MASON LN, LAKE IN THE HILLS, IL 60156-4458
(847) 344-5858
(847) 253-4597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071003390
IL
103TC0700X
Clinical Psychologist
Primary
071003390
IL
103TC0700X
Clinical Psychologist
1843
WI
103TF0200X
Forensic Psychologist
071003390
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673044
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
10/03/2006
Last updated
06/25/2024
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