Thayer, Michael Wm.

Thayer, Michael Wm. is an individual health care provider with primary practice located at 10475 Perry Hwy Ste 300 , Wexford PA 15090-9213. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Thayer, Michael Wm. can be contacted via phone (724) 759-7500.

Contact Information

Primary practice address
10475 Perry Hwy Ste 300 Wexford PA 15090-9213
Phone: (724) 759-7500
Fax: (724) 759-7600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS007022L Pennsylvania

Profile Details

NPI number 1306884226
LBN Legal business name Thayer, Michael Wm.
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 4th, 2016 - about 9 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 1306884226 NPPES
Pennsylvania Other 1807916 HIGHMARK
Pennsylvania MEDICAID 0016741910003 HIGHMARK

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