Richard Thackston
NPI #1255700290 in Clifton Park, New York
Provider Information
- NPI Number
- 1255700290
- Entity Type
- Individual
- Name
- Richard Thackston
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Sep 21, 2015
- Last Updated
- Sep 21, 2015
Practice Location
- Address
- 515 MOE RD
- City
- Clifton Park
- State
- New York
- ZIP Code
- 12065-3821
- Phone
- (518) 280-4294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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