Organization
TIMOTHY A. REDMAN, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY A. REDMAN PH.D. (OWNER)
(941) 951-0343
Entity
Organization
Contact information
Practice address
3344 BAHIA VISTA ST, SARASOTA, FL 34239-7386
(941) 951-0343
(866) 601-3427
Mailing address
3344 BAHIA VISTA ST, SARASOTA, FL 34239-7386
(941) 951-0343
(866) 601-3427
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0003846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75980
BC/BS
FL
Enumeration date
04/13/2011
Last updated
04/13/2011
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