Doctor Name: | DR. STEPHEN W THOMPSON |
NPI Number: | 1003960444 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED. D. |
License Number: | 1277 |
Business Practice Address: | 1122 Commercial Dr Hammond, LA - 70403 |
Business Phone Number: | 9853457500 |
Business Fax Number: | 5044765517 |
Mailing Address: | 1122 Commercial Dr, HAMMOND |
State: | LA |
Postal Code: | 70403 |
Phone Number: | 9853457500 |
Fax Number: | 5044765517 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |