| Douglas Thompson, Llc | |
| 
					43 Sherman Hill Rd Suite 202a Building D Woodbury CT 06798-3651  | |
| (203) 543-7575 | |
| (203) 331-8288 | 
| Full Name | Douglas Thompson, Llc | 
|---|---|
| Speciality | Counselor - Professional | 
| Location | 43 Sherman Hill Rd, Woodbury, Connecticut | 
| Authorized Official Name and Position | Douglas Thompson (OWNER) | 
| Authorized Official Contact | 2035437575 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Douglas Thompson, Llc 100 Main St N Suite 125 Southbury CT 06488-3840 Ph: (203) 543-7575  | Douglas Thompson, Llc 43 Sherman Hill Rd Suite 202a Building D Woodbury CT 06798-3651 Ph: (203) 543-7575  | 
| NPI Number | 1447524467 | 
|---|---|
| Provider Enumeration Date | 03/08/2012 | 
| Last Update Date | 03/08/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447524467 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001819 (Connecticut) | Primary | 
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