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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN KAY THOMPSON, PHD. , LP., MSE

Active Sole Proprietor

JACQUELYN KAY THOMPSON, PHD. , LP., MSE is a Clinical Psychologist healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1124187935 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1124187935
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2006 (19.691597100681 yrs)
Last Updated
Jul 8, 2007
License
LP2495 (MN)
Sole Proprietor
Yes

Practice Information

Address
1920 ORCHARD LN
WHITE BEAR LAKE, MN, 551105330
Browse MN providers · Browse ZIP 55110
Phone
6513388702
Fax
6517773692
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in WHITE BEAR LAKE, MN

Name Credential NPI
VIRGINIA SORENSON LP LMFT 1851497879
DR. RITA SANDIDGE PHD, LP 1720747082
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.