Provider Demographics
NPI:1144783242
Name:THOMSON, ANN R (MA ED)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:R
Last Name:THOMSON
Suffix:
Gender:F
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 HIGH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6356
Mailing Address - Country:US
Mailing Address - Phone:718-757-5206
Mailing Address - Fax:
Practice Address - Street 1:118 HIGH ST APT 3A
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6356
Practice Address - Country:US
Practice Address - Phone:718-757-5206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)