| Doctor Name: | MR. KENNETH RICHARD THAU |
| NPI Number: | 1013980523 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.W., J.D. |
| License Number: | 0904003262 |
| Business Practice Address: | 10613 Montrose Ave Suite 4 Bethesda, MD - 208144219 |
| Business Phone Number: | 3014934140 |
| Business Fax Number: | |
| Mailing Address: | 10613 Montrose Ave, Suite 4 BETHESDA |
| State: | MD |
| Postal Code: | 208144219 |
| Phone Number: | 3014934140 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904003262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |