Elizabeth Thompson | |
149 W Stadium Dr Stockton CA 95204-3117 | |
(209) 565-0756 | |
Not Available |
Full Name | Elizabeth Thompson |
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Speciality | Community/behavioral Health |
Location | 149 W Stadium Dr, Stockton, California |
Authorized Official Name and Position | Elizabeth Thompson (MARRIAGE FAMILY THERAPIST) |
Authorized Official Contact | 2095650756 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Thompson 149 1/2 W Stadium Dr Stockton CA 95204-3117 Ph: (209) 565-0756 | Elizabeth Thompson 149 W Stadium Dr Stockton CA 95204-3117 Ph: (209) 565-0756 |
NPI Number | 1851824882 |
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Provider Enumeration Date | 04/06/2017 |
Last Update Date | 04/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851824882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 40957 (California) | Primary |
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