Thompson, Susan J

Thompson, Susan J is an individual health care provider with primary practice located at 3301 30Th Ave S Ste 101 Suite 100, Grand Forks ND 58201-6009. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Thompson, Susan J can be contacted via phone (701) 780-9700.

Contact Information

Primary practice address
3301 30Th Ave S Ste 101 Suite 100 Grand Forks ND 58201-6009
Phone: (701) 780-9700
Fax: (701) 780-9709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 226 North Dakota

Profile Details

NPI number 1396968061
LBN Legal business name Thompson, Susan J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Apr 18th, 2014 - about 12 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 1396968061 NPPES
North Dakota Other N715764 MEDICARE PART B
North Dakota MEDICAID 000016950 MEDICARE PART B

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