Provider Demographics
NPI:1427038595
Name:THOMPSON, JAMES W (MS CCCA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MS CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810 KERN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902
Mailing Address - Country:US
Mailing Address - Phone:509-248-0933
Mailing Address - Fax:509-575-4763
Practice Address - Street 1:3810 KERN RD
Practice Address - Street 2:SUITE B
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-248-0933
Practice Address - Fax:509-575-4763
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00000954231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist