Individual
DR. JOHN PATTERSON THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
270 VERONICA LANE, SUITE C-1, JACKSON, WY 83001-0000
(307) 690-6006
Mailing address
PO BOX 633, VICTOR, ID 83455-0633
(307) 690-6006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
125
WY
103T00000X
Psychologist
6317857-2501
UT
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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