Provider Demographics
NPI:1689707580
Name:THORNTON, DENNIS (PHD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:THORNTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 S VIEW ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-3329
Mailing Address - Country:US
Mailing Address - Phone:914-769-3879
Mailing Address - Fax:914-769-3879
Practice Address - Street 1:24 S VIEW ST
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-3329
Practice Address - Country:US
Practice Address - Phone:914-769-3879
Practice Address - Fax:914-769-3879
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008682103T00000X
NY8682103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist