Fennell, Tim
Fennell, Tim is an sole proprietor health care provider with primary practice located at 3990 Clairmont Rd , Chamblee GA 30341-4938. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fennell, Tim can be contacted via phone (407) 595-0146.Contact Information
Primary practice address
3990 Clairmont Rd
Chamblee GA 30341-4938
Phone: (407) 595-0146
Fax: (877) 260-8720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC009594 | Georgia |
Profile Details
| NPI number | 1356618201 |
|---|---|
| LBN Legal business name | Fennell, Tim |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2011 |
| Last updated | Nov 12th, 2019 - about 6 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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