Provider Demographics
NPI:1942915327
Name:THOMPSON, TAMMY LASHON (PSY S)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:LASHON
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PSY S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3968 LAKE TAHOE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-7880
Mailing Address - Country:US
Mailing Address - Phone:561-201-3927
Mailing Address - Fax:
Practice Address - Street 1:3968 LAKE TAHOE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-7880
Practice Address - Country:US
Practice Address - Phone:561-201-3927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst