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
Fax: (479) 443-9554
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326066689 NPPES
Arkansas Other 5X652 BLUECROSS BLUESHIELD

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