Provider Demographics
NPI: | 1780704577 |
---|---|
Name: | THOMPSON AND ASSOCIATES |
Entity type: | Organization |
Organization Name: | THOMPSON AND ASSOCIATES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | THERAPIST OFFICE MANAGER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | LISA |
Authorized Official - Middle Name: | ANN |
Authorized Official - Last Name: | SPENDLOVE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MA |
Authorized Official - Phone: | 562-984-2038 |
Mailing Address - Street 1: | 4401 ATLANTIC AVE STE 200 |
Mailing Address - Street 2: | |
Mailing Address - City: | LONG BEACH |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90807-2264 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 562-984-2038 |
Mailing Address - Fax: | 310-597-4962 |
Practice Address - Street 1: | 4401 ATLANTIC AVE STE 200 |
Practice Address - Street 2: | |
Practice Address - City: | LONG BEACH |
Practice Address - State: | CA |
Practice Address - Zip Code: | 90807-2264 |
Practice Address - Country: | US |
Practice Address - Phone: | 562-984-2038 |
Practice Address - Fax: | 310-597-4962 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-03-29 |
Last Update Date: | 2008-07-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Single Specialty |