Provider Demographics
NPI:1326159393
Name:THORPE, TAMSEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:TAMSEN
Middle Name:
Last Name:THORPE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 COMMUNITY PL STE 4
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7501
Mailing Address - Country:US
Mailing Address - Phone:973-425-8868
Mailing Address - Fax:973-539-3687
Practice Address - Street 1:20 COMMUNITY PL STE 4
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7501
Practice Address - Country:US
Practice Address - Phone:973-425-8868
Practice Address - Fax:973-539-3687
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100382600103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ046369Medicare ID - Type Unspecified