DR. BONNY ELIZABETH THACKER PSY.D. NPI 1093051633

NPI Information

NPI: 1093051633
Provider Name: DR. BONNY ELIZABETH THACKER, PSY.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

PECOS Registration: Yes

Address:
704 E HIGHWAY 28
OWENSVILLE, MO
ZIP 65066
Phone: (573) 437-2959
Get Directions

DR. Bonny Elizabeth Thacker, PSY.D. is a cognitive and behavioral psychologist in Owensville, MO. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Bonny Elizabeth Thacker, PSY.D. NPI is 1093051633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

704 E HIGHWAY 28
OWENSVILLE, MO
ZIP 65066-588
Phone: (573) 437-2959

The NPI 1093051633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/1/2013 and was last updated on 3/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	2013006401	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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