Individual
TIMOTHY F. DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
618 LIBRARY PLACE, EVANSTON, IL 60201
(847) 733-4300
(847) 733-0390
Mailing address
1057 LINDEN AVENUE, WILMETTE, IL 60091-2727
(504) 232-0316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2051
LA
106H00000X
Marriage & Family Therapist
Primary
166.000694
IL
106H00000X
Marriage & Family Therapist
4101006070
MI
106H00000X
Marriage & Family Therapist
7
LA
Other
Enumeration date
01/30/2007
Last updated
08/30/2012
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