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Provider Information for 1447473681


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LINDA KAYE THOMPSON LP


Sex: Female

NPI: 1447473681
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1447473681
Enumeration Date2007-04-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 7225 HEMLOCK LN N APT 324
MAPLE GROVE, MN 55369-5527
United States

Phone: 701-451-4900 | Fax:
 
Primary Practice Address 19021 FREEPORT ST NW STE 500
ELK RIVER, MN 55330-1278
United States

Phone: 701-441-3951 | Fax:701-441-8661
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MN138231U Care
Other (non-Medicare)MN2085750Cigna
Other (non-Medicare)ND26473BCBS ND
MEDICAIDMN459483500
Other (non-Medicare)MN55330-A009Tri West
Other (non-Medicare)MN62-50613Medica UBH
Other (non-Medicare)MN657T3THBCBS MN
Other (non-Medicare)MN990991046384BHP Preferred 1
Other (non-Medicare)MSHP58818Health Partners
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 103T00000X - Psychologist MNLP 3412