Doctor Name: | MRS. REBEKAH THOMPSON |
NPI Number: | 1023063211 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A ,HSP-PA |
License Number: | 1585 |
Business Practice Address: | 1455 E Marion St Ste A Shelby, NC - 281504956 |
Business Phone Number: | 7044826776 |
Business Fax Number: | 7044828640 |
Mailing Address: | 1455-a East Marion Street, SHELBY |
State: | NC |
Postal Code: | 28150 |
Phone Number: | 7044826776 |
Fax Number: | 7044828640 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 1585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |