Doctor Name: | DEBORAH ANN THOMPSON |
NPI Number: | 1053380311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 34004680A |
Business Practice Address: | 61 Indiana Ave Suite A Valparaiso, IN - 463835530 |
Business Phone Number: | 2199212052 |
Business Fax Number: | |
Mailing Address: | 3271 Atlanta Blvd, PORTAGE |
State: | IN |
Postal Code: | 463685152 |
Phone Number: | 2197625487 |
Fax Number: | 2197625487 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34004680A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |