Individual
DR. MARK RAYMOND TIMS
Active
Individual
DR. MARK RAYMOND TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
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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