Provider Demographics
NPI:1437319340
Name:THOMPSON, BRETT W (BC-HIS)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:W
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2723
Mailing Address - Country:US
Mailing Address - Phone:970-278-1200
Mailing Address - Fax:970-278-1215
Practice Address - Street 1:768 S 1600 W STE 132
Practice Address - Street 2:
Practice Address - City:MAPLETON
Practice Address - State:UT
Practice Address - Zip Code:84664-4562
Practice Address - Country:US
Practice Address - Phone:019-482-1518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2940237700000X
CO220237700000X
UT12656286-4601237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist