Provider Demographics
NPI:1083179436
Name:THOMSEN, ALLISON CLAIRE
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CLAIRE
Last Name:THOMSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2382 HOSP WAY UNIT 344
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1233
Mailing Address - Country:US
Mailing Address - Phone:858-705-3867
Mailing Address - Fax:
Practice Address - Street 1:16885 VIA DEL CAMPO CT STE 314
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1753
Practice Address - Country:US
Practice Address - Phone:858-987-4143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician