Provider Demographics
NPI:1396973756
Name:THOMPSON, MEREDITH ANNE (CGC)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANNE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44730
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46244-0730
Mailing Address - Country:US
Mailing Address - Phone:317-274-7879
Mailing Address - Fax:317-278-9918
Practice Address - Street 1:550 UNIVERSITY BLVD
Practice Address - Street 2:UH2440
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5149
Practice Address - Country:US
Practice Address - Phone:317-274-8231
Practice Address - Fax:317-278-9918
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS