| Jody Tabner Thayer Llc | |
|
4401 E West Hwy Ste 301 Bethesda MD 20814-4523 | |
| (301) 793-9600 | |
| Not Available |
| Full Name | Jody Tabner Thayer Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4401 E West Hwy Ste 301, Bethesda, Maryland |
| Authorized Official Name and Position | Jody Tabner Thayer (OWNER) |
| Authorized Official Contact | 3017939600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Tabner Thayer Llc 4401 E West Hwy Ste 301 Bethesda MD 20814-4523 Ph: () - | Jody Tabner Thayer Llc 4401 E West Hwy Ste 301 Bethesda MD 20814-4523 Ph: (301) 793-9600 |
| NPI Number | 1871064535 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 8022350032 |
|---|---|
| Medicare Enrollment ID | O20190423001561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871064535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jody Tabner Thayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174872964 PECOS PAC ID: 5991957474 Enrollment ID: I20121207000331 |
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