Individual
TIMOTHY M TAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
1900 S OLIVE AVE, WEST PALM BEACH, FL 33401-7726
(561) 882-4008
(561) 881-4432
Mailing address
1281 E BLUE HERON BLVD # 162, RIVIERA BEACH, FL 33404-4739
(561) 882-4008
(561) 881-4432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 6213
FL
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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