Doherty, Timothy Michael
Doherty, Timothy Michael is an individual health care provider with primary practice located at 190 Kimel Park Dr , Winston-Salem NC 27103-6946. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Doherty, Timothy Michael can be contacted via phone (336) 768-3296.Contact Information
Primary practice address
190 Kimel Park Dr
Winston-Salem NC 27103-6946
Phone: (336) 768-3296
Fax: (336) 760-5484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C002863 | North Carolina |
Profile Details
| NPI number | 1740240431 |
|---|---|
| LBN Legal business name | Doherty, Timothy Michael |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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