Healthcare Provider Details

I. General information

NPI: 1700860137
Provider Name (Legal Business Name): DELIGHT C. A. THOMPSON PSY.D., ED.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6671 W INDIANTOWN RD SUITE 50-396
JUPITER FL
33458-3991
US

IV. Provider business mailing address

6671 W INDIANTOWN RD SUITE 50-396
JUPITER FL
33458-3991
US

V. Phone/Fax

Practice location:
  • Phone: 561-571-1075
  • Fax: 888-981-5035
Mailing address:
  • Phone: 561-571-1075
  • Fax: 888-981-5035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY7652
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPY7652
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3189
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY7652
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPY7652
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number3189
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number3189
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberPY7652
License Number StateFL
# 9
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number3189
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: