| Doctor Name: | DR. DAVID ALAN THOMPSON |
| NPI Number: | 1073764098 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1240 |
| Business Practice Address: | 307 Boatner Rd Suite 114 Eglin Afb, FL - 325421391 |
| Business Phone Number: | 8508838373 |
| Business Fax Number: | 8508838330 |
| Mailing Address: | 307 Boatner Rd, Suite 114 EGLIN AFB |
| State: | FL |
| Postal Code: | 325421391 |
| Phone Number: | 8508838373 |
| Fax Number: | 8508838330 |
| NPI Enumeration Date: | 10/08/2008 |
| NPI Last Update Date: | 10/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 1240 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |