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Individual
DR. ANDREW JORDAN THAYER
Active
Individual
DR. ANDREW JORDAN THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12174
NE
103TC0700X
Clinical Psychologist
PY61194044
WA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY61194044
WA
Other
Enumeration date
07/30/2020
Last updated
12/20/2022
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