Healthcare Provider Details

I. General information

NPI: 1376994079
Provider Name (Legal Business Name): LOREN WRIGHT THOMPSON LP, HSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 S MERRITT MILL RD
CHAPEL HILL NC
27516-2878
US

IV. Provider business mailing address

1206 WATSON RD
CHAPEL HILL NC
27516-7890
US

V. Phone/Fax

Practice location:
  • Phone: 919-883-6201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1229153
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: