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Individual

DR. JENNIFER TIMKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
700 NE 96TH ST, MIAMI SHORES, FL 33138-2520
(305) 450-1047
Mailing address
700 NE 96TH ST, MIAMI SHORES, FL 33138-2520
(305) 450-1047

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7381
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC052
MEDICARE SUPPLIER NUMBER
FL
Enumeration date
12/04/2006
Last updated
01/19/2022
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