Individual
TIMOTHY PAUL TINIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
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
Update your record
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