Individual
TIMOTHY A URBIN
Active
Individual
TIMOTHY A URBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
P1987
TN
103TC0700X
Clinical Psychologist
Primary
P1987
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3714470
GROUP MEDICARE PIN
TN
Enumeration date
02/03/2010
Last updated
04/01/2013
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