Thompson, Lynn Marie
Thompson, Lynn Marie is an sole proprietor health care provider with primary practice located at 2901 Juan Tabo Blvd Ne Suite 204, Albuquerque NM 87112-1886. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Thompson, Lynn Marie can be contacted via phone (505) 433-5860.Contact Information
Primary practice address
2901 Juan Tabo Blvd Ne Suite 204
Albuquerque NM 87112-1886
Phone: (505) 433-5860
Fax: (505) 433-5864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0884 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 00049 | New Mexico |
Profile Details
| NPI number | 1942291216 |
|---|---|
| LBN Legal business name | Thompson, Lynn Marie |
| Credentials | CNS, PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jun 25th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942291216 | NPPES |
| New Mexico | MEDICAID | 6172028 |
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