Individual
RICHARD THACKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 MOE RD, CLIFTON PARK, NY 12065-3821
(518) 280-4294
(518) 280-4297
Mailing address
515 MOE RD, CLIFTON PARK, NY 12065-3821
(518) 280-4294
(518) 280-4297
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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