NPI 1871272633

Diandra Alyssa Thompson, LSW

Practitioner Licensed Psychiatric Technician Philadelphia, PA

Practice location

Address: 6042 Washington Ave APT 1, Philadelphia, PA 19143-2322
Phone: (215) 605-3636

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence SW133272 (PA)

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Registry record

NPI: 1871272633
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2023
Record last updated: 17 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.