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Individual
DR. TIMOTHY TENNYSON
Active
Individual
DR. TIMOTHY TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY10217
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY10217
CA
103TC0700X
Clinical Psychologist
Primary
PSY10217
CA
103TF0200X
Forensic Psychologist
PSY10217
CA
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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