Individual
DR. ELLEN ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
452 OLD MAMMOTH ROAD, 3RD FLOOR, MAMMOTH LAKES, CA 93546-2619
(760) 924-1740
Mailing address
PO BOX 964, BENTON, CA 93512-0964
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 23634
CA
Other
Enumeration date
10/11/2006
Last updated
06/06/2011
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