Individual provider · Type 1 NPI

Jack Thaw, PhD

Clinical Psychologist · Glastonbury, CT

NPI number 1801923586 Active

Practice location

300 Hebron Ave, Suite 217 Counseling Affiliates Inc Medical Arts Center
Glastonbury, CT 06033

Call (860) 659-2697 Map

Fax (860) 659-3468

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X001266 (CT)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1801923586

Jack Thaw, PhD's National Provider Identifier is 1801923586, issued on Feb 28, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Glastonbury, CT. The record was last updated on Jul 8, 2007.