Individual
MR. TIMOTHY JOSEPH DAHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2407 S CLEAR CREEK RD, KILLEEN, TX 76549-5721
(254) 415-7989
(254) 699-7309
Mailing address
PO BOX 204, TEMPLE, TX 76503-0204
(254) 415-7989
(254) 699-7309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1408064-03
—
TX
01
—
241223
TRICARE
—
Enumeration date
07/17/2006
Last updated
02/16/2016
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