| Doctor Name: | DR. SALLETTE ANN THOMPSON |
| NPI Number: | 1609956390 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | CO3289 |
| Business Practice Address: | 1148 W. Bella Casa Dr. Pueblo West, CO - 81007 |
| Business Phone Number: | 9075909468 |
| Business Fax Number: | 5305487418 |
| Mailing Address: | 1148 W. Bella Casa Dr, PUEBLO WEST |
| State: | CO |
| Postal Code: | 81007 |
| Phone Number: | 9075909468 |
| Fax Number: | 5305487418 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 02/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CO3289 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |