Provider Demographics
NPI:1063562569
Name:THOMPSON, DENA MAHAR (PSYD)
Entity type:Individual
Prefix:DR
First Name:DENA
Middle Name:MAHAR
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 W CENTRAL ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4591
Mailing Address - Country:US
Mailing Address - Phone:508-971-0600
Mailing Address - Fax:
Practice Address - Street 1:12 W CENTRAL ST
Practice Address - Street 2:SUITE 7
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4591
Practice Address - Country:US
Practice Address - Phone:508-971-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TB0200X
MA8956103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral