Doctor Name: | GLORIA THOMPSON |
NPI Number: | 1003039439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 3188 |
Business Practice Address: | 5635 Main Street Suite A #225 Zachary, LA - 70791 |
Business Phone Number: | 2256037058 |
Business Fax Number: | 2256549300 |
Mailing Address: | 5635 Main Street, Suite A #225 ZACHARY |
State: | LA |
Postal Code: | 70791 |
Phone Number: | 2256037058 |
Fax Number: | 2256549300 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 06/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |