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Dr. Diane Thompson, Ph.D.

Psychologist in Espanola, NM. Individual provider (NPI-1).

NPI number1497842298
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1497842298
Entity type
Individual (NPI-1)
Name
Dr. Diane Thompson
Credential
Ph.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 5, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist730NMYes

Practice location

415 Onate St
Espanola, NM 87532

Phone 505-927-1727

Mailing address

1073 Encantado Dr
Santa Fe, NM 87501-1076

Phone 505-927-1727 · Fax 505-984-2908

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