Doctor Name: | MRS. JANE THOMPSON-SMITH |
NPI Number: | 1104013242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 208 E Main St Olney, IL - 624502114 |
Business Phone Number: | 6183953090 |
Business Fax Number: | 6183952754 |
Mailing Address: | 208 E Main St, OLNEY |
State: | IL |
Postal Code: | 624502114 |
Phone Number: | 6183923090 |
Fax Number: | 6183922754 |
NPI Enumeration Date: | 10/03/2007 |
NPI Last Update Date: | 10/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |