Thayer, Desmond

Thayer, Desmond is an individual health care provider with primary practice located at 100 Prison Rd , Represa CA 95671-2501. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Thayer, Desmond can be contacted via phone (916) 985-8610.

Contact Information

Primary practice address
100 Prison Rd Represa CA 95671-2501
Phone: (916) 985-8610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY29042 California

Profile Details

NPI number 1457766156
LBN Legal business name Thayer, Desmond
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2014
Last updated Aug 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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