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DR. JON C THOMPSON PSYD

Clinical Neuropsychologist

Indianapolis, Indiana

Provider NPI: 1386634814

Provider Information:
DR. JON C THOMPSON PSYD
Gender: M
Not Sole Proprietor

Practice Location:
2001 W 86TH ST DEPARTMENT OF NEUROPSYCHOLOGY, 3 EAST INDIANAPOLIS, IN 46260 US
Tel: 317-338-3103  Fax: --

Business Mailing Address:
8840 COMMERCE PARK PL STE E  INDIANAPOLIS, IN 46268 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IN20041915A
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
IN20041915A
N103T00000XBehavioral Health & Social Service Providers
Psychologist
IN20041915A
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
VA0810003469
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
IN20041915A

Other Provider Identifiers:

IssuerNumberStateType
200827580IN05
940550C5IN08
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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