Individual
DR. MARK RAYMOND TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-1110
Mailing address
601 HIGHWAY 6 WEST, IOWA CITY, IA 52246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008189
MI
103TC0700X
Clinical Psychologist
63010008189
MI
Other
Enumeration date
08/30/2005
Last updated
05/27/2021
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