Individual
DR. DAVID L THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
821 W SOUTH ST, SUITE D, KALAMAZOO, MI 49007-4684
(269) 501-3493
Mailing address
821 W SOUTH ST, SUITE D, KALAMAZOO, MI 49007-4684
(269) 501-3493
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008205
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680D16189
BC/BS
MI
Enumeration date
07/30/2006
Last updated
08/11/2008
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