Doctor Name: | KEVIN D THOMPSON |
NPI Number: | 1548500879 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | L2458516 |
Business Practice Address: | 1941 Silverpine Ct Toledo, OH - 436159161 |
Business Phone Number: | 6168629148 |
Business Fax Number: | |
Mailing Address: | 1941 Silverpine Ct, TOLEDO |
State: | OH |
Postal Code: | 436159161 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/23/2013 |
NPI Last Update Date: | 02/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | L2458516 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |