Jack Thaw is a Clinical in Glastonbury, Connecticut. Jack Thaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Thaw is 1801923586. The last update date is 2007-07-08.
Jack Thaw's current location address is 300 Hebron Ave, Glastonbury, Connecticut. You can contact this provider via phone number 8606592697 and fax number 8606593468. The mailing address for Jack Thaw is 300 Hebron Ave, Glastonbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Thaw |
|---|---|
| Address | 300 Hebron Ave, Glastonbury, Connecticut |
| Phone Number | 8606592697 |
| Fax Number | 8606593468 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1801923586 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Hebron Ave |
|---|---|
| City | Glastonbury |
| State | Connecticut (CT) |
| Post Code | 6033 |
| Phone Number | 8606592697 |
| Fax Number | 8606593468 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1266 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 600011266001 | CT | ANTHEM BC | |
| P2743373 | CT | OXFORD | |
| 134309 | CT | VALUE OPTIONS UBH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Thaw by the Centers for Medicare & Medicaid Services?
The Jack Thaw has been assigned the NPI (National Provider Identifier) 1801923586 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jack Thaw is geographically located?
The Jack Thaw is physically situated at the following location: 300 Hebron Ave, Glastonbury, CT, 6033.
What is Jack Thaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Thaw is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801923586 to Jack Thaw?
The Centers for Medicare & Medicaid Services assigned the 1801923586 to Jack Thaw on 2007-02-28.
As of what date was the information pertaining to Jack Thaw, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Thaw, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1215930425
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