MEDICARE: DR. ANNE B. THOMPSON PH.D.

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	103TC0700X	Clinical Psychologist	2993	MD

General Provider Information

NPI Number	:	1245443134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE B. THOMPSON PH.D.

Provider Business Mailing Address
First Line	:	7945 MACARTHUR BLVD STE 216
Second Line	:
City	:	CABIN JOHN
State	:	MD
Zip	:	20818-1634
Country	:	US
Telephone Number	:	301-657-8314
Fax Number	:

Provider Business Practice Location Address
First Line	:	7945 MACARTHUR BLVD STE 216
Second Line	:
City	:	CABIN JOHN
State	:	MD
Zip	:	20818-1634
Country	:	US
Telephone Number	:	301-657-8314
Fax Number	:

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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