Provider Demographics
NPI:1508841925
Name:THOMPSON, REBECCA E (PSYD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:E
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1303 JEFFERSON ST
Mailing Address - Street 2:SUITE 210A
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2442
Mailing Address - Country:US
Mailing Address - Phone:707-255-7786
Mailing Address - Fax:707-252-1092
Practice Address - Street 1:1303 JEFFERSON ST
Practice Address - Street 2:SUITE 210A
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2442
Practice Address - Country:US
Practice Address - Phone:707-255-7786
Practice Address - Fax:707-252-1092
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY 20610103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist