| Wendy L Thompson Phd Pllc | |
|
1207 Pearl St Ypsilanti MI 48197-4622 | |
| (734) 358-0477 | |
| (734) 436-0253 |
| Full Name | Wendy L Thompson Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1207 Pearl St, Ypsilanti, Michigan |
| Authorized Official Name and Position | Wendy Lynn Thompson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7343580477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy L Thompson Phd Pllc 1207 Pearl St Ypsilanti MI 48197-4622 Ph: (734) 358-0477 | Wendy L Thompson Phd Pllc 1207 Pearl St Ypsilanti MI 48197-4622 Ph: (734) 358-0477 |
| NPI Number | 1689913071 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 5496982761 |
|---|---|
| Medicare Enrollment ID | O20131211001424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689913071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301013656 (Michigan) | Primary |
| Provider Name | Wendy L Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104960632 PECOS PAC ID: 3072693613 Enrollment ID: I20131213000752 |
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