Richardson, Risa Thompson

Richardson, Risa Thompson is an individual health care provider with primary practice located at 13000 Bruce B Downs Blvd Mh&Bs 116B, Tampa FL 33612-4745. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Richardson, Risa Thompson can be contacted via phone (813) 972-2000.

Contact Information

Primary practice address
13000 Bruce B Downs Blvd Mh&Bs 116B Tampa FL 33612-4745
Phone: (813) 972-2000
Fax: (813) 903-4814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 40-010 Mississippi
Behavioral Health & Social Service Providers / Clinical 103TC0700X 40-010 Mississippi

Profile Details

NPI number 1891844882
LBN Legal business name Richardson, Risa Thompson
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891844882 NPPES
Mississippi MEDICAID 00124390

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