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Individual

DR. TIMOTHY POWELL TJERSLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD.

Contact information

Practice address
1403 GREENBRIER PKWY STE 200, CHESAPEAKE, VA 23320-2876
(757) 436-2444
Mailing address
1403 GREENBRIER PKWY STE 200, CHESAPEAKE, VA 23320-2876
(757) 436-2444
(757) 547-4584

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003598
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010251010
VA
Enumeration date
11/03/2006
Last updated
02/23/2023
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