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NPI Code Detail

MEDICARE: MS. LINDSEY JOY THOMPSON M.S.

MEDICARE: MS. LINDSEY JOY THOMPSON M.S.
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
1235Z00000XSpeech-Language PathologistIL

General Provider Information

NPI Number : 1417008814
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDSEY JOY THOMPSON M.S.
Provider Business Mailing Address
First Line : 40W258 WILDWOOD DR
Second Line :
City : AURORA
State : IL
Zip : 60506-8903
Country : US
Telephone Number : 630-897-5816
Fax Number :
Provider Business Practice Location Address
First Line : 40W310 LAFOX RD UNIT A1
Second Line :
City : ST CHARLES
State : IL
Zip : 60175-6591
Country : US
Telephone Number : 630-444-0077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 07/08/2007

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