Individual
DR. LYNN MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, PH.D.
Contact information
Practice address
2901 JUAN TABO BLVD NE, SUITE 204, ALBUQUERQUE, NM 87112-1886
(505) 433-5860
(505) 433-5864
Mailing address
2901 JUAN TABO NE, SUITE 204, ALBUQUERQUE, NM 87112
(505) 433-5860
(505) 433-5864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0884
NM
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
00049
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6172028
—
NM
Enumeration date
11/04/2005
Last updated
06/25/2015
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