Thompson, Michael D.

Thompson, Michael D. is an individual health care provider with primary practice located at 1516 W Lake St Suite 103, Minneapolis MN 55408-2554. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Thompson, Michael D. can be contacted via phone (612) 822-1357.

Contact Information

Primary practice address
1516 W Lake St Suite 103 Minneapolis MN 55408-2554
Phone: (612) 822-1357
Fax: (612) 822-1360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP4671 Minnesota
Behavioral Health & Social Service Providers / Forensic 103TF0200X LP 4671 Minnesota

Profile Details

NPI number 1679690960
LBN Legal business name Thompson, Michael D.
Credentials PSY.D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1679690960 NPPES
Other 77G86TH BCBS

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