Individual
DR. LARRY EUGENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
17321 OAK LEDGE DR, LUTZ, FL 33549-7627
(813) 949-2347
Mailing address
17321 OAK LEDGE DR, LUTZ, FL 33549-7627
(813) 949-2347
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY2647
FL
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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