| NPI | 1467965418 |
|---|---|
| Professional Name | JEFFREY WILLIAM THOMPSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6801063750) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |