Ellsworth, Timothy Andrew
Ellsworth, Timothy Andrew is an sole proprietor health care provider with primary practice located at 3801 Fairfax Dr 61 , Arlington VA 22203-1762. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellsworth, Timothy Andrew can be contacted via phone (571) 317-1003.Contact Information
Primary practice address
3801 Fairfax Dr 61
Arlington VA 22203-1762
Phone: (571) 317-1003
Fax: (888) 220-4899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY1000280 | District of Columbia |
Profile Details
| NPI number | 1568510212 |
|---|---|
| LBN Legal business name | Ellsworth, Timothy Andrew |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jun 1st, 2021 - about 3 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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