Provider Demographics
NPI:1477060333
Name:WOMENS HEALTH WILMINGTON PSYCHIATRIC MEDICINE PLLC
Entity Type:Organization
Organization Name:WOMENS HEALTH WILMINGTON PSYCHIATRIC MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-239-8220
Mailing Address - Street 1:2214 WRIGHTSVILLE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2487
Mailing Address - Country:US
Mailing Address - Phone:910-239-8220
Mailing Address - Fax:
Practice Address - Street 1:2214 WRIGHTSVILLE AVE STE D
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2487
Practice Address - Country:US
Practice Address - Phone:910-239-8220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-01
Last Update Date:2018-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty