Healthcare Provider Details

I. General information

NPI: 1053692194
Provider Name (Legal Business Name): ROBERT PHILIP THOMPSON MSW, RSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 03/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 9 AVE SE
CALGARY ALBERTA
T2G 0S5
CA

IV. Provider business mailing address

917 9 AVE SE
CALGARY ALBERTA
T2G 0S5
CA

V. Phone/Fax

Practice location:
  • Phone: 403-543-7818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: