Individual
KATHLEEN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
540 LITCHFIELD ST, C/O IRENE BENZA, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6783
Mailing address
540 LITCHFIELD ST, C/O IRENE BENZA, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6783
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001577
CT
Other
Enumeration date
02/15/2007
Last updated
07/11/2011
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