Individual
KATIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 S 3RD ST, BARDSTOWN, KY 40004-1032
(502) 349-6057
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
171243
KY
103TC0700X
Clinical Psychologist
PSYPAT00222503
KY
Other
Enumeration date
09/21/2015
Last updated
06/14/2018
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