Individual
MR. TIMOTHY (TIM) DANIEL MCQUADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDUCATION SPECIALIST
Contact information
Practice address
124 S BEECH ST, BRYAN, OH 43506-1601
(419) 633-6250
Mailing address
1350 FOUNTAIN GROVE DR, BRYAN, OH 43506-8733
(419) 633-6250
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
TU1014923
OH
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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