Organization
DAVID L. THAYER, PSY.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L THAYER PSY.D.,P.C. (PRESIDENT)
(269) 501-3493
Entity
Organization
Contact information
Practice address
821 W SOUTH ST, SUITE D, KALAMAZOO, MI 49007-4684
(269) 501-3493
(269) 344-5973
Mailing address
821 W SOUTH ST, SUITE D, KALAMAZOO, MI 49007-4684
(269) 501-3493
(269) 344-5973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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