Provider Demographics
NPI:1689682023
Name:THOMPSON SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:THOMPSON SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRITT-THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:978-499-9970
Mailing Address - Street 1:3A BLACK DUCK CIR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-2300
Mailing Address - Country:US
Mailing Address - Phone:978-499-9970
Mailing Address - Fax:978-477-0467
Practice Address - Street 1:3A BLACK DUCK CIR
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-2300
Practice Address - Country:US
Practice Address - Phone:978-499-9970
Practice Address - Fax:978-477-0467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9377169OtherPRIVATE HEALTH CARE (PHCS
MA448871OtherTUFTS
MASP0125OtherBLUE CROSS OF MA
MAAA31786OtherHARVARD PILGRIM
MA7426634OtherAETNA