Most Relevant Information
Provider Data
| NPI Number: | 1003017591 |
| Provider Name: | MARY K THOMPSON PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 0747 |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
903 BAXTER AVE
LOUISVILLE
KY
402042046
Practice Location Phone/Fax
| Phone: | 5024587366 |
| Fax: | 5024587362 |
Provider Mailing Location
903 BAXTER AVE
LOUISVILLE
KY
402042046
Provider Mailing Phone/Fax
| Phone: | 5024587366 |
| Fax: | 5024587362 |