| Doctor Name: | ELIZABETH S THAYER |
| NPI Number: | 1013094176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD CLINICAL PSYCHOL |
| License Number: | 001416 |
| Business Practice Address: | 40 Dale Road Suite 201 Avon, CT - 06001 |
| Business Phone Number: | 8606769350 |
| Business Fax Number: | 8606787178 |
| Mailing Address: | 40 Dale Road, Suite 201 AVON |
| State: | CT |
| Postal Code: | 06001 |
| Phone Number: | 8606769350 |
| Fax Number: | 8606787178 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 001416 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |