| Doctor Name: | GRETCHEN P THOMPSON |
| NPI Number: | 1053606251 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | 00877 |
| Business Practice Address: | 1340 Blairs Ferry Rd Unit A Hiawatha, IA - 522331900 |
| Business Phone Number: | 3193986694 |
| Business Fax Number: | 3193694673 |
| Mailing Address: | 2061 Bennett St, DUBUQUE |
| State: | IA |
| Postal Code: | 520016031 |
| Phone Number: | 5635426595 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2011 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 00877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |