Russel L Thompson
Psychologist
7400 Blanco Road Suite 126
San Antonio
, Texas 78216-3500
Russel L Thompson
Psychologist
7400 Blanco Road Suite 126
San Antonio
, Texas 78216-3500
(210) 274-9032
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Russel L Thompson
- Po Box 460875
- San Antonio, TX
- Zip : 78246-0875
- Phone : (210) 274-9032
Second Address
- Russel L Thompson
- 7400 Blanco Road Suite 126
- San Antonio, TX
- Zip : 78216-3500
- Fax : (210) 587-2454
- Phone : (210) 699-8700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 32230 | TX |
| Y | 103T00000X | Psychologist | 32230 | TX |
National Provider Identifier
| NPI | 1003912924 |
|---|---|
| Provider Name | Russel L Thompson |
| First Address | San Antonio, TX 78246-0875 |
| Second Address | San Antonio, TX 78216-3500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2006 |
| Last Update Date | 01/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32230 | TEXAS PSYCHOLOGIST LIC # (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.