Jwthompson Group, LLC

NPI #1770999229 in Venice, Florida

Provider Information

NPI Number
1770999229
Entity Type
Organization
Organization Name
Jwthompson Group, LLC
Primary Specialty
Psychologist - Clinical
Enumeration Date
Jul 5, 2014
Last Updated
Jul 5, 2014

Practice Location

Address
263 ROYAL OAK WAY
City
Venice
State
Florida
ZIP Code
34292-3189
Phone
(941) 685-7228

Authorized Official

Name
DR. JERRY WAYNE THOMPSON, PSY.D.
Title
PRESIDENT/CEO
Phone
(941) 685-7228

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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