Michael D. Thompson in Minneapolis - Forensic

Michael D. Thompson - NPI 1679690960

Michael D. Thompson is a Forensic in Minneapolis, Minnesota. Michael D. Thompson practices all healthcare services and medical treatments related to Forensic. The NPI Number for Michael D. Thompson is 1679690960. The last update date is 2007-07-08.

Michael D. Thompson's current location address is 2712 Fremont Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6128221357 and fax number 6128221360. The mailing address for Michael D. Thompson is 2712 Fremont Ave S, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael D. Thompson
Address 2712 Fremont Ave S, Minneapolis, Minnesota
Phone Number 6128221357
Fax Number 6128221360
Sole Proprietor N
Credentials PSY.D., LP

NPI Number Detail

NPI Number 1679690960
Provider Enumeration Date 2007-03-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2712 Fremont Ave S
City Minneapolis
State Minnesota (MN)
Post Code 554081122
Phone Number 6128221357
Fax Number 6128221360

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Licence No LP 4671
Definition:
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
77G86TH BCBS

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FAQs about Michael D. Thompson

What is the unique identification code assigned to Michael D. Thompson by the Centers for Medicare & Medicaid Services?

The Michael D. Thompson has been issued the NPI (National Provider Identifier) 1679690960. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michael D. Thompson?

The Michael D. Thompson is physically situated at 2712 Fremont Ave S, in the city of Minneapolis, state of MN, with the postal code 554081122.

What is the Michael D. Thompson's area of specialization and corresponding taxonomy classification?

The Michael D. Thompson's specialty field is Forensic, and it falls under the taxonomy code 103Tf0200X, which categorizes healthcare providers based on their specialties.

On what date did the Michael D. Thompson receive the assignment of its 1679690960 from the Centers for Medicare & Medicaid Services?

The Michael D. Thompson was issued its 1679690960 by the Centers for Medicare & Medicaid Services on 2007-03-23.

As of what date were the Michael D. Thompson's details last updated?

The information pertaining to the Michael D. Thompson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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