Lyman, Timothy Robert

Lyman, Timothy Robert is an sole proprietor health care provider with primary practice located at 631 Hogback Rd , Crown Point NY 12928-1815. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Lyman, Timothy Robert can be contacted via phone (518) 570-1097.

Contact Information

Primary practice address
631 Hogback Rd Crown Point NY 12928-1815
Phone: (518) 570-1097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 151.0125941 Vermont
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 151.0125941 Vermont

Profile Details

NPI number 1932671096
LBN Legal business name Lyman, Timothy Robert
Credentials MA, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2018
Last updated Dec 28th, 2018 - about 7 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 1932671096 NPPES
Vermont Other 151.0125941 OFFICE OF PROFESSIONAL REGULATION

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