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NPI Code Detail

MEDICARE: MS. HEIDI LOUISE THOMPSON M.A.

MEDICARE: MS. HEIDI LOUISE THOMPSON M.A.
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 Counselor068-0000229VT

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 : 1538291851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEIDI LOUISE THOMPSON M.A.
Provider Business Mailing Address
First Line : 41 WORCESTER RD
Second Line :
City : CALAIS
State : VT
Zip : 05648
Country : US
Telephone Number : 802-223-0882
Fax Number :
Provider Business Practice Location Address
First Line : 162 ELM ST
Second Line :
City : MONTPELIER
State : VT
Zip : 05602-2896
Country : US
Telephone Number : 802-229-1712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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