Provider Demographics
NPI:1700073624
Name:THOMPSON, FRANCES LINDSAY (PSYD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:LINDSAY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:LINDSAY
Other - Last Name:GRAEVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2411 N OAK ST STE 209F
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-3173
Mailing Address - Country:US
Mailing Address - Phone:843-212-6995
Mailing Address - Fax:
Practice Address - Street 1:2411 N OAK ST STE 205F
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-3164
Practice Address - Country:US
Practice Address - Phone:843-212-6995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6372103T00000X
UT7538970-2501103T00000X
SCPSY1811PSY103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist