Provider Demographics
NPI:1386835692
Name:INSIGHT PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:INSIGHT PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:340-774-2228
Mailing Address - Street 1:9149 ESTATE THOMAS
Mailing Address - Street 2:SUITE 209A, MB 8
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2615
Mailing Address - Country:US
Mailing Address - Phone:340-774-2228
Mailing Address - Fax:340-774-2228
Practice Address - Street 1:9149 ESTATE THOMAS
Practice Address - Street 2:SUITE 209A MB 8
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2615
Practice Address - Country:US
Practice Address - Phone:340-774-2228
Practice Address - Fax:340-774-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI03-017-PSY103T00000X
VI06-022-PSY103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty