Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 103K00000X | Behavior Analyst | ||
N | 175L00000X | Homeopath |
NPI | 1063895688 |
---|---|
Provider Name | Ms. Joy L Thompson |
First Address | Hawthorne, CA 90250-6311 |
Second Address | Los Angeles, CA 90003-2031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2015 |
Last Update Date | 20/06/2017 |