Provider Demographics
NPI:1629298856
Name:TOMPSON, MARTHA C (PHD)
Entity Type:Individual
Prefix:PROF
First Name:MARTHA
Middle Name:C
Last Name:TOMPSON
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:BOSTON UNIVERSITY PSYCHOLOGY DEPARTMENT
Mailing Address - Street 2:648 BEACON STREET, 4TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-353-9495
Mailing Address - Fax:617-353-9609
Practice Address - Street 1:BOSTON UNIVERSITY PSYCHOLOGY DEPARTMENT
Practice Address - Street 2:648 BEACON STREET, 4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-353-9495
Practice Address - Fax:617-353-9609
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA7411103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical