Provider Demographics
NPI:1467644161
Name:THOMPSON, JOYCE A (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:A
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 W 13TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-1953
Mailing Address - Country:US
Mailing Address - Phone:316-295-4758
Mailing Address - Fax:316-239-6832
Practice Address - Street 1:2022 W 13TH ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-1953
Practice Address - Country:US
Practice Address - Phone:316-295-4758
Practice Address - Fax:316-239-6832
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS912106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist