IndividualActive
Andrew Thayer, PH.D., LP
NPI 1902415342 · Clinical Child & Adolescent Psychologist · Seattle, WA
Provider details
- NPI number
- 1902415342
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., LP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12174 (NE)
Mailing address
509 Olive Way Ste 204
Seattle, WA 98101-1726
Registry dates
- Enumerated
- 2020-07-30
- Last updated
- 2022-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.