Elizabeth S Thayer PHD CLINICAL PSYCHOL

NPI 1013094176 - Psychologist - 103TC0700X

NPI Details
NPI 1013094176
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
40 DALE ROAD
SUITE 201
AVON CT, 06001, US
Phone (860) 676-9350
Fax (860) 678-7178
Business Location
40 DALE ROAD
SUITE 201
AVON CT, 06001, US
Phone (860) 676-9350
Fax (860) 678-7178
Toxanomy
Taxonomy Code 103TC0700X
License State Connecticut
License Number 001416
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According to our database, Elizabeth S Thayer PHD CLINICAL PSYCHOL NPI is 1013094176, taxonomy code is 103TC0700X and license number is 001416, license state is located at Connecticut. Elizabeth S Thayer PHD CLINICAL PSYCHOL physically located at 40 Dale Road, Avon CT, 06001. NPI Number Elizabeth S Thayer PHD CLINICAL PSYCHOL has the Individual type.

1013094176 NPI number is provided on an as is basis without warranty of any kind. 1013094176 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth S Thayer PHD CLINICAL PSYCHOL are for informational purposes only.