PETER JOHN THAXTER

FREDERICKSBURG, VA
NPI1174018980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: VA  0810006004)
Enumeration Date2018-06-25
Last Update Date2018-06-25
Business Address
Dr. PETER JOHN THAXTER Ph.D.
510 PRINCESS ANNE ST STE 102
FREDERICKSBURG, VA 22401-6077
Phone number: 540-698-0003
Mailing Address
Dr. PETER JOHN THAXTER Ph.D.
8931 QUARRY RD
MANASSAS, VA 20110-5160
Phone number: 703-969-4539
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