Provider Demographics
NPI:1881104156
Name:THOMPSON, ELIZABETH TOWNSEND (MSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:TOWNSEND
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9469
Mailing Address - Country:US
Mailing Address - Phone:919-923-8856
Mailing Address - Fax:
Practice Address - Street 1:86 WILLOW WAY
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-9469
Practice Address - Country:US
Practice Address - Phone:919-923-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist