Anthony Michael Thompson

Individual provider Active NPI Speech-Language Pathologist · Maple Falls, WA

NPI 1992059810 · NPPES record last updated Oct 30, 2012

Key facts

NPI
1992059810
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
LL60018336 (WA)
Practice address
7547 Kendall Rd
Maple Falls, WA 98266-7818
Phone
(360) 383-2000
Fax
(360) 383-2009
NPI assigned
Oct 30, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LL60018336WAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL60018336 WA Yes

Addresses

Primary practice location

7547 Kendall Rd
Maple Falls, WA 98266-7818

Mailing address

2919 Madrona St
Bellingham, WA 98225-1526
Phone (360) 383-2000

Other providers in Maple Falls, WA

All providers in Maple Falls, WA · Speech-Language Pathologist in Washington

Sources for this page

Verify at the official NPI Registry.