1386816650 NPI number — DR. DEBRA-ANN THOMSON PH.D., NCACII, CAC

Table of content: DR. DEBRA-ANN THOMSON PH.D., NCACII, CAC (NPI 1386816650)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386816650 NPI number — DR. DEBRA-ANN THOMSON PH.D., NCACII, CAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMSON
Provider First Name:
DEBRA-ANN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., NCACII, CAC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386816650
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2755 S LOCUST ST
Provider Second Line Business Mailing Address:
SUITE 207
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80222-7126
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-758-6634
Provider Business Mailing Address Fax Number:
303-838-0493

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2755 S LOCUST ST
Provider Second Line Business Practice Location Address:
SUITE 207
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80222-7126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-758-6634
Provider Business Practice Location Address Fax Number:
303-838-0493
Provider Enumeration Date:
03/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 43123 . This is a "NATIONAL ADDICTIONS COUNS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2380 . This is a "ADDICTION COUNSELOR" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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