Jacquelyn Kay Thompson, PHD. , LP., MSE

NPI #1124187935 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1124187935
Entity Type: Individual
Name: Jacquelyn Kay Thompson, PHD. , LP., MSE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD. , LP., MSE
Enumeration Date: Dec 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1920 ORCHARD LN
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-5330
Phone: (651) 338-8702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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