Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 8956 | MA |
Y | 103TC0700X | Clinical Psychologist | 8956 | MA |
NPI | 1063562569 |
---|---|
Provider Name | Dr. Dena Mahar Thompson |
First Address | Natick, MA 01760-4591 |
Second Address | Natick, MA 01760-4591 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 18/03/2010 |