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Individual
DR. TIMOTHY ROBERT TEST SR.
Active
Individual
DR. TIMOTHY ROBERT TEST SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC007874
PA
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TH0004X
Health Psychologist
PC007874
PA
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
02/09/2011
Last updated
01/21/2015
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