Individual
DR. MICHAEL WM. THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
10475 PERRY HWY STE 300, WEXFORD, PA 15090-9213
(724) 759-7500
(724) 759-7600
Mailing address
10475 PERRY HWY STE 300, WEXFORD, PA 15090-9213
(724) 759-7500
(724) 759-7600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007022L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016741910003
—
PA
01
—
1807916
HIGHMARK
PA
Enumeration date
06/03/2006
Last updated
02/04/2016
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