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Individual
DR. TIMOTHY J. BEYER
Active
Individual
DR. TIMOTHY J. BEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
23622
CA
103TC0700X
Clinical Psychologist
Primary
23622
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
23622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056672100
MEDICAL ASSISTANCE
MN
01
—
55G16BE
BLUE CROSS BLUE SHIELD
MN
01
—
55G17BE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/10/2006
Last updated
07/15/2024
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