Thompson, Vicki Lee
Thompson, Vicki Lee is an individual health care provider with primary practice located at 114 E South Hills Dr , Maryville MO 64468-2659. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Vicki Lee can be contacted via phone (660) 562-2525.Contact Information
Primary practice address
114 E South Hills Dr
Maryville MO 64468-2659
Phone: (660) 562-2525
Fax: (660) 562-4303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 005153 | Missouri |
Profile Details
| NPI number | 1114068137 |
|---|---|
| LBN Legal business name | Thompson, Vicki Lee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2007 |
| Last updated | Nov 9th, 2012 - about 13 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 | 1114068137 | NPPES |
| Missouri | MEDICAID | 1114068137 | |
| Missouri | Other | 00005153 |
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