Active NPIIndividual provider

Elizabeth S Thayer, PHD CLINICAL PSYCHOL

Psychologist, Clinical in Avon, Connecticut

NPI Number1013094176
Practice location
40 Dale Road, Suite 201, Avon, CT 06001
Fax
860-678-7178
Last updated
July 8, 2007

Elizabeth S Thayer is a Psychologist, Clinical based in Avon, CT. Elizabeth S Thayer practices in Avon, CT and has the professional credentials of PHD CLINICAL PSYCHOL. The NPI Number for Elizabeth S Thayer is 1013094176 and holds a License No. 001416 (CT). The current practice location address for Elizabeth S Thayer is 40 Dale Road, Suite 201, Avon, CT 06001 and can be reached out via phone at 860-676-9350 and via fax at 860-678-7178.

Provider Profile Details

NPI Number
1013094176
Provider Name
Elizabeth S Thayer
Credential
PHD CLINICAL PSYCHOL
Provider Entity Type
Individual
Gender
Female
Address
40 Dale Road, Suite 201, Avon, CT 06001
Phone Number
860-676-9350
Fax Number
860-678-7178
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Dale Road
Suite 201
Avon, CT 06001
City
Avon
Zip
06001
Phone Number
860-676-9350
Fax Number
860-678-7178
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
40 Dale Road
Suite 201
Avon, CT 06001
City
Avon
State
CT
Zip
06001
Phone Number
860-676-9350
Fax Number
860-678-7178

License Information

License Number
001416
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth S Thayer, PHD CLINICAL PSYCHOL?

The NPI number of Elizabeth S Thayer, PHD CLINICAL PSYCHOL is 1013094176. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Elizabeth S Thayer, PHD CLINICAL PSYCHOL?

Elizabeth S Thayer, PHD CLINICAL PSYCHOL is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 001416.

Where does Elizabeth S Thayer, PHD CLINICAL PSYCHOL practice?

The practice location is 40 Dale Road, Suite 201, Avon, CT 06001. The office can be reached at 860-676-9350 (phone) or 860-678-7178 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013094176 directly on the NPPES registry website.

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