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Individual

DR. RICHARD LEWIS THAYER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
448 STATE HIGHWAY 248 STE 180, BRANSON, MO 65616-3725
(417) 820-8180
Mailing address
448 STATE HIGHWAY 248 STE 180, BRANSON, MO 65616-3725
(417) 820-8180

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY01510
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
493234918
MO
Enumeration date
06/20/2006
Last updated
03/23/2022
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