| Doctor Name: | KIMBERLY DAVIS THOMPSON |
| NPI Number: | 1578988317 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 33149 |
| Business Practice Address: | 1406 Lancelot Ave Wolfforth, TX - 793823207 |
| Business Phone Number: | 8062240200 |
| Business Fax Number: | |
| Mailing Address: | 1406 Lancelot Ave, WOLFFORTH |
| State: | TX |
| Postal Code: | 793823207 |
| Phone Number: | 9034557794 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2014 |
| NPI Last Update Date: | 09/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 33149 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |