Provider Demographics
NPI:1760573679
Name:THOMPSON, TORI N (MC, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:TORI
Middle Name:N
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MC, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 NORTH AVE
Mailing Address - Street 2:AUDIOLOGY DEPARTMENT
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6428
Mailing Address - Country:US
Mailing Address - Phone:970-263-5012
Mailing Address - Fax:970-244-7724
Practice Address - Street 1:2121 NORTH AVE
Practice Address - Street 2:AUDIOLOGY DEPARTMENT
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6428
Practice Address - Country:US
Practice Address - Phone:970-263-5012
Practice Address - Fax:970-244-7724
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO296231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist