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Organization
TIMBER ZWICKILTON, CLINICAL PSYCHOLOGIST INC
Active
Organization
TIMBER ZWICKILTON, CLINICAL PSYCHOLOGIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMBER RAE ZWICKILTON PSY.D. (CEO)
(858) 242-2779
Entity
Organization
Contact information
Practice address
11440 W BERNARDO CT STE 256, SAN DIEGO, CA 92127-1653
(858) 242-2779
Mailing address
11440 W BERNARDO CT STE 256, SAN DIEGO, CA 92127-1653
(858) 242-2779
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104102581
NPI-1
CA
Enumeration date
02/10/2019
Last updated
02/10/2019
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