Individual
DR. JONELLE SULLIVAN TIMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
302 N 5TH ST, COEUR D ALENE, ID 83814-2814
(208) 664-3020
(208) 664-3639
Mailing address
5682 N STAFFORD RD, COEUR D ALENE, ID 83815-0409
(208) 664-3020
(208) 664-3639
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-261
ID
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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