| Doctor Name: | MR. ANTHONY MICHAEL THOMPSON |
| NPI Number: | 1992059810 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | LL60018336 |
| Business Practice Address: | 7547 Kendall Rd Maple Falls, WA - 982667818 |
| Business Phone Number: | 3603832000 |
| Business Fax Number: | 3603832009 |
| Mailing Address: | 2919 Madrona St, BELLINGHAM |
| State: | WA |
| Postal Code: | 982251526 |
| Phone Number: | 3603832000 |
| Fax Number: | 3603832009 |
| NPI Enumeration Date: | 10/30/2012 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL60018336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |