Most Relevant Information
Provider Data
| NPI Number: | 1003319575 |
| Provider Name: | DONNA THOMPSON MA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2018 |
| Last Updated: | 03/12/2018 |
Provider Practice Location
8532 MENTOR AVE
MENTOR
OH
440605822
Practice Location Phone/Fax
| Phone: | 4402051008 |
| Fax: | 4402051047 |
Provider Mailing Location
8532 MENTOR AVE
MENTOR
OH
440605822
Provider Mailing Phone/Fax
| Phone: | 4402051008 |
| Fax: | 4402051047 |