Individual
TIMOTHY F WYNKOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1627 HENTHORNE, MAUMEE, OH 43537
(419) 867-8019
Mailing address
PO BOX 332, MAUMEE, OH 43537
(419) 867-8019
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5089
OH
Other
Enumeration date
01/12/2007
Last updated
12/05/2011
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