Thompson, Suzanne M
Thompson, Suzanne M is an individual health care provider with primary practice located at 1 Childrens Pl #3N14, Saint Louis MO 63110-1002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Suzanne M can be contacted via phone (314) 454-6069.Contact Information
Primary practice address
1 Childrens Pl #3N14
Saint Louis MO 63110-1002
Phone: (314) 454-6069
Fax: (314) 454-4013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY01772 | Missouri |
Profile Details
| NPI number | 1942220892 |
|---|---|
| LBN Legal business name | Thompson, Suzanne M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Nov 8th, 2021 - about 5 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 | 1942220892 | NPPES |
| Missouri | MEDICAID | 498135508 | |
| Missouri | Other | 105329 | |
| Missouri | Other | 6154233 |
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