Basic Information
Provider Information
NPI: 1275792707
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YOSHIMURA
FirstName: ANN
MiddleName: THOMPSON
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: THOMPSON
OtherFirstName: ANN
OtherMiddleName: V.
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: PH.D.
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 8110
Address2:  
City: SALINAS
State: CA
PostalCode: 939128110
CountryCode: US
TelephoneNumber: 8316785500
FaxNumber: 8316785660
Practice Location
Address1: 31625 HIGHWAY 101 S
Address2:  
City: SOLEDAD
State: CA
PostalCode: 939609529
CountryCode: US
TelephoneNumber: 8316785500
FaxNumber: 8316785660
Other Information
ProviderEnumerationDate: 06/09/2008
LastUpdateDate: 06/09/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPSY 17423CAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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