Timmy Ryan Thayne, MFT Valid NPI
Individual provider · Marriage & Family Therapist · Alpine, UT
- NPI
- 1124335641
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 368382-3902 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-09-03
- Last updated
- 2010-09-03
Practice location
256 N Main St
Alpine, UT 84004-1476
(801) 768-1441