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Individual
DR. PETER JOHN THAXTER
Active
Individual
DR. PETER JOHN THAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810006004
VA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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