Cory, Constance Thayer

Cory, Constance Thayer is an individual health care provider with primary practice located at 1318 Jamestown Rd Suite 101, Williamsburg VA 23185-3382. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cory, Constance Thayer can be contacted via phone (757) 229-7927.

Contact Information

Primary practice address
1318 Jamestown Rd Suite 101 Williamsburg VA 23185-3382
Phone: (757) 229-7927
Fax: (757) 253-8891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701001193 Virginia

Profile Details

NPI number 1811093925
LBN Legal business name Cory, Constance Thayer
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811093925 NPPES
Virginia Other 082139 OPTIMA
Virginia Other 140811 OPTIMA
Virginia Other 2123565 OPTIMA
Virginia MEDICAID 5412471 OPTIMA
Virginia Other 033353 OPTIMA
Virginia Other 2037029 OPTIMA

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