MEDICARE: MS. LINDA B THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841323631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA B THOMPSON

Provider Business Mailing Address
First Line	:	2529 W 102ND ST
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90303-1630
Country	:	US
Telephone Number	:	323-242-5244
Fax Number	:	323-242-7678

Provider Business Practice Location Address
First Line	:	2529 W 102ND ST
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90303-1630
Country	:	US
Telephone Number	:	323-242-5244
Fax Number	:	323-242-7678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/08/2007

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