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Alicia Thompson Md Pllc
Adolescent and Children Mental Health Clinic/Center in Edmond, Oklahoma
NPI 1043590722

Alicia Thompson Md Pllc is an Adolescent and Children Mental Health Clinic/Center based in Edmond, OK and is specialized in Adolescent and Children Mental Health. Alicia Thompson Md Pllc practices in Edmond, OK. The NPI Number for Alicia Thompson Md Pllc is 1043590722 and holds a License No. 25776 (Oklahoma).

The current practice location address for Alicia Thompson Md Pllc is 15005 Salem Creek Rd, Edmond, OK and can be reached out via phone at 405-657-4537 and via fax at 405-347-7617.

Location: 15005 Salem Creek Rd, Edmond, OK, 73013-2455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043590722
Provider Name
Alicia Thompson Md Pllc
Credential
Provider Entity Type
Organization
Address
15005 Salem Creek Rd, Edmond, OK, 73013-2455
Phone Number
405-657-4537
Fax Number
405-347-7617
Provider Enumeration Date
08/25/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
091050022 05 MO
25776 01 OK LISCENSE
108326 01 MO MEDICAL LISCENSE
100125890A 05 OK
institution
Provider Business Practice Location Address Details
Address
15005 Salem Creek Rd
City
Edmond
State
Oklahoma
Zip
73013-2455
Phone Number
405-657-4537
Fax Number
405-347-7617
person
Provider Business Mailing Address Details
Address
15005 Salem Creek Rd
City
Edmond
State
Oklahoma
Zip
73013-2455
Phone Number
405-657-4537
Fax Number
405-347-7617
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
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Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
25776 (Oklahoma)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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