Elizabeth S Thayer
Clinical Psychologist
40 Dale Road Suite 201
Avon
, Connecticut 06001
Elizabeth S Thayer
Clinical Psychologist
40 Dale Road Suite 201
Avon
, Connecticut 06001
(860) 678-7178
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Elizabeth S Thayer
- 40 Dale Road Suite 201
- Avon, CT
- Zip : 06001
- Fax : (860) 678-7178
- Phone : (860) 676-9350
Second Address
- Elizabeth S Thayer
- 40 Dale Road Suite 201
- Avon, CT
- Zip : 06001
- Fax : (860) 678-7178
- Phone : (860) 676-9350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 001416 | CT |
| Y | 103TC0700X | Clinical Psychologist | 001416 | CT |
National Provider Identifier
| NPI | 1013094176 |
|---|---|
| Provider Name | Elizabeth S Thayer |
| First Address | Avon, CT 06001 |
| Second Address | Avon, CT 06001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.