Kochems, Timothy P.

Kochems, Timothy P. is an sole proprietor health care provider with primary practice located at 981 Beacon St , Newton Centre MA 02459-1722. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kochems, Timothy P. can be contacted via phone (617) 332-5262.

Contact Information

Primary practice address
981 Beacon St Newton Centre MA 02459-1722
Phone: (617) 332-5262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 3391 PR Massachusetts
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1255484234
LBN Legal business name Kochems, Timothy P.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1255484234 NPPES
Massachusetts Other W10480 BLUE SHIELD (CURRENT)

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