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NPI Code Detail

MEDICARE: KERRI A THOMPSON

MEDICARE: KERRI A THOMPSON
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437300977
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI A THOMPSON
Provider Business Mailing Address
First Line : 9 CENTENNIAL DR
Second Line : SUITE 202
City : PEABODY
State : MA
Zip : 01960-7939
Country : US
Telephone Number : 978-522-5070
Fax Number :
Provider Business Practice Location Address
First Line : 9 CENTENNIAL DR
Second Line : SUITE 202
City : PEABODY
State : MA
Zip : 01960-7939
Country : US
Telephone Number : 978-522-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2008
Last Update Date : 03/09/2010

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Directions to “ KERRI A THOMPSON ” Practice Location

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