Individual
TIMOTHY ARTHUR MCNICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5250 JEANNE LYNN AVE, YOUNGSTOWN, OH 44514-1322
(330) 565-7889
Mailing address
5250 JEANNE LYNN AVE, YOUNGSTOWN, OH 44514-1322
(330) 565-7889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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