Individual
TIMOTHY PAUL TINIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5177
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5177
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 0251
MN
103TC0700X
Clinical Psychologist
LP0251
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075J1TI 075J6TI
BCBS PROVIDER PIN
MN
05
—
599352100
—
MN
01
—
61-21170
MEDICA PIN
MN
Enumeration date
08/31/2006
Last updated
02/07/2025
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