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Individual

DR. TIMOTHY CASEY CAPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCP

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3133
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021777
KASIER COMMERCIAL NUMBER
CO
05
88375544
CO
Enumeration date
04/09/2007
Last updated
03/03/2022
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