| Garrie B Thompson Iii Phd Pa | |
|
801 Meadows Rd Suite 110 Boca Raton FL 33486-2346 | |
| (561) 750-9118 | |
| Not Available |
| Full Name | Garrie B Thompson Iii Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 801 Meadows Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Garrie B Thompson (PRESIDENT) |
| Authorized Official Contact | 5617509118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrie B Thompson Iii Phd Pa 801 Meadows Rd Suite 110 Boca Raton FL 33486-2346 Ph: (561) 750-9118 | Garrie B Thompson Iii Phd Pa 801 Meadows Rd Suite 110 Boca Raton FL 33486-2346 Ph: (561) 750-9118 |
| NPI Number | 1023283694 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Medicare PECOS PAC ID | 9335150291 |
|---|---|
| Medicare Enrollment ID | O20060508000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023283694 | NPI | - | NPPES |
| PY5584 | Other | FL | FLORIDA LICENSE |
| K1059 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5584 (Florida) | Primary |
| Provider Name | Garrie B Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700967957 PECOS PAC ID: 4688685548 Enrollment ID: I20100528000019 |
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