Thompson, Kylie Jo

Thompson, Kylie Jo is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Suite 200, Pacoima CA 91331-1391. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Thompson, Kylie Jo can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1548399280
LBN Legal business name Thompson, Kylie Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 9th, 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 1548399280 NPPES
California MEDICAID 7068
California MEDICAID 7420

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