| Katie Thompson Lcpc, Inc. | |
|
1332 Londontown Blvd Ste 119 Eldersburg MD 21784-6590 | |
| (443) 650-8480 | |
| Not Available |
| Full Name | Katie Thompson Lcpc, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1332 Londontown Blvd Ste 119, Eldersburg, Maryland |
| Authorized Official Name and Position | Katie R Thompson (OWNER) |
| Authorized Official Contact | 4436508480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Thompson Lcpc, Inc. 935 Bedford Dr Eldersburg MD 21784-8837 Ph: (443) 650-8480 | Katie Thompson Lcpc, Inc. 1332 Londontown Blvd Ste 119 Eldersburg MD 21784-6590 Ph: (443) 650-8480 |
| NPI Number | 1073271888 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073271888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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