Thompson, Kristie Marie

Thompson, Kristie Marie is an sole proprietor health care provider with primary practice located at 300 Northgate Park Dr , Winston Salem NC 27106-3482. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Thompson, Kristie Marie can be contacted via phone (336) 306-5644.

Contact Information

Primary practice address
300 Northgate Park Dr Winston Salem NC 27106-3482
Phone: (336) 306-5644
Fax: (336) 449-6049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 2602 North Carolina

Profile Details

NPI number 1740327170
LBN Legal business name Thompson, Kristie Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 17 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 1740327170 NPPES
North Carolina MEDICAID 6107430

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