IndividualActive
Diandra Thompson, LSW
NPI 1871272633 · Licensed Psychiatric Technician · Philadelphia, PA
Provider details
- NPI number
- 1871272633
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW133272 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
6042 Washington Ave Apt 1
Philadelphia, PA 19143-2322
Phone: (215) 605-3636
Approximate (ZIP-level) locationGet directions
Mailing address
6042 Washington Ave Apt 1
Philadelphia, PA 19143-2322
Registry dates
- Enumerated
- 2023-07-17
- Last updated
- 2023-07-17
- Certified
- 2023-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.