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Dr. Jack Thaw, PHD
Clinical Psychologist in Glastonbury, Connecticut
NPI 1801923586

Jack Thaw is a Clinical Psychologist based in Glastonbury, CT and is specialized in Clinical. Jack Thaw practices in Glastonbury, CT and has the professional credentials of PHD. The NPI Number for Jack Thaw is 1801923586 and holds a License No. 001266 (Connecticut).

The current practice location address for Jack Thaw is 300 Hebron Ave, Glastonbury, CT and can be reached out via phone at 860-659-2697 and via fax at 860-659-3468.

Location: 300 Hebron Ave, Glastonbury, CT, 06033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801923586
Provider Name
Jack Thaw
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
300 Hebron Ave, Glastonbury, CT, 06033
Phone Number
860-659-2697
Fax Number
860-659-3468
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0600011266001 01 CT ANTHEM BC
P2743373 01 CT OXFORD
134309 01 CT VALUE OPTIONS UBH
institution
Provider Business Practice Location Address Details
Address
300 Hebron Ave
City
Glastonbury
State
Connecticut
Zip
06033
Phone Number
860-659-2697
Fax Number
860-659-3468
person
Provider Business Mailing Address Details
Address
300 Hebron Ave
City
Glastonbury
State
Connecticut
Zip
06033
Phone Number
860-659-2697
Fax Number
860-659-3468
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
001266 (Connecticut)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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