Individual
TIMOTHY MINAROVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., BSL
Contact information
Practice address
90 S COMMERCE WAY, SUITE 300, BETHLEHEM, PA 18017-8601
(610) 691-8401
(610) 691-0647
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
(610) 944-8834
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH001699
PA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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