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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679690960 | NPPES |
| Other | 77G86TH | BCBS |
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