Thompson, Jerry

Thompson, Jerry is an sole proprietor health care provider with primary practice located at 263 Royal Oak Way , Venice FL 34292-3189. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Thompson, Jerry can be contacted via phone (941) 685-7228.

Contact Information

Primary practice address
263 Royal Oak Way Venice FL 34292-3189
Phone: (941) 685-7228
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0005807 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5807 Florida

Profile Details

NPI number 1538559265
LBN Legal business name Thompson, Jerry
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2015
Last updated Apr 19th, 2019 - about 7 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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