Provider Demographics
NPI:1184647455
Name:BACHMANN-THOMPSON, OLGA C (PHD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:C
Last Name:BACHMANN-THOMPSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1566
Mailing Address - Street 2:325 E. GRAND RIVER, STE. 7
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116
Mailing Address - Country:US
Mailing Address - Phone:810-623-0510
Mailing Address - Fax:734-550-9251
Practice Address - Street 1:325 E. GRAND RIVER, STE. 7
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116
Practice Address - Country:US
Practice Address - Phone:810-623-0510
Practice Address - Fax:734-550-9251
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301003164103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist