Cavell, Timothy A
Cavell, Timothy A is an sole proprietor health care provider with primary practice located at 1 W Sunbridge Dr , Fayetteville AR 72703-1825. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cavell, Timothy A can be contacted via phone (479) 443-5575.Contact Information
Primary practice address
1 W Sunbridge Dr
Fayetteville AR 72703-1825
Phone: (479) 443-5575
Fax: (479) 443-9554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 02-11P | Arkansas |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 02-11P | Arkansas |
Profile Details
| NPI number | 1326066689 |
|---|---|
| LBN Legal business name | Cavell, Timothy A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 6th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326066689 | NPPES |
| Arkansas | Other | 5X652 | BLUECROSS BLUESHIELD |
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