| Kenneth R Thau | |
|
4405 E West Hwy Ste 407 Bethesda MD 20814-4535 | |
| (202) 320-5322 | |
| Not Available |
| Full Name | Kenneth R Thau |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4405 E West Hwy Ste 407, Bethesda, Maryland |
| Authorized Official Name and Position | Kenneth Richard Thau (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2023205322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Thau Po Box 10 Kensington MD 20895-0010 Ph: (202) 320-5322 | Kenneth R Thau 4405 E West Hwy Ste 407 Bethesda MD 20814-4535 Ph: (202) 320-5322 |
| NPI Number | 1508483439 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508483439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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