| Doctor Name: | REBECCA COLACCHIO THOMPSON |
| NPI Number: | 1073768859 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LICSW |
| License Number: | |
| Business Practice Address: | 1400 Centre St Suite 105 Newton Centre, MA - 024592454 |
| Business Phone Number: | 6173018369 |
| Business Fax Number: | |
| Mailing Address: | 132 Clark St, WALTHAM |
| State: | MA |
| Postal Code: | 024536577 |
| Phone Number: | 7812091780 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2008 |
| NPI Last Update Date: | 11/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |