Provider Demographics
NPI:1942628755
Name:THOMPSON, EMILY FAITH (CPM)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:FAITH
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 FINDON PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2119
Mailing Address - Country:US
Mailing Address - Phone:719-291-6704
Mailing Address - Fax:719-325-0242
Practice Address - Street 1:4720 FINDON PL
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2119
Practice Address - Country:US
Practice Address - Phone:719-291-6704
Practice Address - Fax:719-325-0242
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay