Hodgens, Timothy Joseph
Hodgens, Timothy Joseph is an sole proprietor health care provider with primary practice located at 18 Lyman Street Suite S, Westborough MA 01581-1433. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hodgens, Timothy Joseph can be contacted via phone (508) 836-9595.Contact Information
Primary practice address
18 Lyman Street Suite S
Westborough MA 01581-1433
Phone: (508) 836-9595
Fax: (508) 836-9898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 1020 | Massachusetts |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 1020 | Massachusetts |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 1020 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1020 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1020 | Massachusetts |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 1020 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1020 | Massachusetts |
Profile Details
| NPI number | 1730243031 |
|---|---|
| LBN Legal business name | Hodgens, Timothy Joseph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Nov 20th, 2015 - about 9 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 | 1730243031 | NPPES |
| Massachusetts | MEDICAID | 0523178 | |
| Massachusetts | Other | 1020 |
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