Individual
MR. TIMOTHY H. NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.ED, C.O.M.S.
Contact information
Practice address
528 ELM ST, ROCKPORT, IN 47635-1428
(812) 727-6188
Mailing address
528 ELM ST, ROCKPORT, IN 47635-1428
(812) 727-6188
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
7148
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7148
ACVREP
—
Enumeration date
05/25/2022
Last updated
05/31/2022
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