| Doctor Name: | SHEILA J THOMPSON |
| NPI Number: | 1952439655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LADC |
| License Number: | 000315 |
| Business Practice Address: | 2 N Eagleville Rd Storrs Mansfield, CT - 062681710 |
| Business Phone Number: | 8609330109 |
| Business Fax Number: | |
| Mailing Address: | 57 Hillyndale Rd, STORRS MANSFIELD |
| State: | CT |
| Postal Code: | 062681819 |
| Phone Number: | 8609330109 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000315 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |