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Individual

MR. TIMOTHY HYNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
324 MAIN ST, NORTH READING, MA 01864-1329
(978) 664-2566
(978) 664-8023
Mailing address
204 MILL ST, HAVERHILL, MA 01830-4153
(978) 372-5445

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7397
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043114833-11
PACIFICARE BEHAVIORAL HEA
MA
01
467317
TUFTS HEALTH PLAN
MA
01
W06245
BCBS OF MA
MA
Enumeration date
11/02/2006
Last updated
07/08/2007
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